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This document serves as a referral or order for Transesophageal Echocardiography (TEE), including patient and physician details, insurance information, authorized services, and diagnoses that support

How to fill out referralorder for transesophageal echocardiography

How to fill out Referral/Order for Transesophageal Echocardiography (TEE)

1. Begin by entering the patient's personal information, including name, age, and contact details.
2. Specify the referring physician's information, including name, contact number, and any required credentials.
3. Provide relevant medical history of the patient, including previous diagnoses and treatments related to cardiac conditions.
4. Indicate the reason for the referral and any specific concerns that need to be addressed during the TEE.
5. Check for any necessary pre-procedure instructions, such as medication adjustments or fasting requirements.
6. Sign and date the referral/order form to validate it.

Who needs Referral/Order for Transesophageal Echocardiography (TEE)?

1. Patients with suspected or known cardiac abnormalities that require detailed imaging of the heart structures.
2. Individuals experiencing unexplained heart murmurs or symptoms of heart disease not sufficiently evaluated by other imaging techniques.
3. Patients with a history of atrial fibrillation or other arrhythmias where further investigation is warranted.

People Also Ask about

Why would a TEE be ordered?

To evaluate the heart during open-heart surgery after procedures, such as coronary artery bypass or valve replacement or repair. To evaluate the heart during non-cardiac surgery. Before cardioversion for atrial fibrillation or atrial flutter to make sure no clots are present.

How uncomfortable is a transesophageal echocardiogram?

Your throat will be numbed with an anesthetic, then a flexible tube about the size of your index finger is inserted into your mouth and down your esophagus. During the procedure, you may feel the probe moving, but it won't be painful or interfere with your breathing.

When to order TEE vs TTE?

In most patients, TEE provides superior image quality, particularly for posterior cardiac structures which are nearer to the esophagus and less well visualized on transthoracic echocardiography as they are more distant from the anterior TTE transducer.

Who performs a transthoracic echocardiogram?

Who performs a transthoracic echocardiogram? A primary care provider or cardiologist usually orders TTE. A sonographer (technician trained to use ultrasound technology) performs the test and sends the results to the doctor.

When to order TEE?

Here are some scenarios when a TEE test is recommended. To Access the Heart Anatomy. A TEE test can provide a detailed view of your heart's structure, such as the size, shape, and thickness of its walls. To Evaluate Heart Function. To Investigate Unexplained Symptoms. To Spot Blood Clots. To Guide Cardiac Procedures.

What kind of doctor performs a transesophageal echocardiogram?

A transesophageal echocardiogram (TEE) is a diagnostic ultrasound test that gives cardiologists a clear view of the heart through a small tube passed into the esophagus. Our technicians insert a probe with a transducer (like a microphone) down the esophagus during the procedure.

Who can perform a transesophageal echocardiogram?

Also referenced are the “Guidelines for Physician Training in Transesophageal Echocardiography: Recommendations of the American Society of Echocardiography Committee for Physician Training in Echocardiography.” This document states, “TEE is a procedure that should be performed only by specially trained physicians.” In

What type of doctor performs a transesophageal echocardiogram?

A heart doctor will guide the scope into the esophagus and stomach. The doctor sprays your throat with a medication to numb it and control the gag reflex.

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What is Referral/Order for Transesophageal Echocardiography (TEE)?

Referral/Order for Transesophageal Echocardiography (TEE) is a formal request made by a healthcare provider for a patient to undergo a specialized imaging test that uses ultrasound waves to create detailed images of the heart and blood vessels through the esophagus.

Who is required to file Referral/Order for Transesophageal Echocardiography (TEE)?

A licensed healthcare provider, typically a physician or cardiologist, who assesses the need for a TEE based on the patient's medical condition is required to file the referral/order.

How to fill out Referral/Order for Transesophageal Echocardiography (TEE)?

To fill out the referral/order for TEE, the healthcare provider should complete the form with patient details, medical history, indication for the test, and any specific instructions or necessary pre-procedure preparations.

What is the purpose of Referral/Order for Transesophageal Echocardiography (TEE)?

The purpose of the referral/order for TEE is to evaluate cardiac structures, assess heart function, identify any abnormalities, and guide further medical treatment or interventions.

What information must be reported on Referral/Order for Transesophageal Echocardiography (TEE)?

The information that must be reported includes the patient's full name, date of birth, medical record number, clinical indications for the TEE, any relevant history, and the referring physician's details.