Get the free BWH Cardiac Catheterization Laboratory Request - brighamandwomens

This document is a request form used by cardiologists to refer patients for cardiac catheterization procedures, capturing patient information, medical history, and required tests.

How to fill out bwh cardiac caformterization laboratory

How to fill out BWH Cardiac Catheterization Laboratory Request

1. Begin by filling in patient information at the top of the form, including name, date of birth, and medical record number.
2. Specify the referring physician’s details, including name and contact information.
3. Indicate the specific procedure required, such as diagnostic catheterization or interventional procedure.
4. Provide relevant clinical history and reason for the procedure in the designated section.
5. List any previous cardiac procedures or interventions the patient has undergone.
6. Include any pertinent medications the patient is currently taking.
7. Indicate any known allergies or adverse reactions to contrast agents.
8. Review the required laboratory tests and ensure results are attached or requested.
9. Sign and date the request form, and provide your contact information for follow-up.

Who needs BWH Cardiac Catheterization Laboratory Request?

1. Patients with suspected or known cardiovascular conditions requiring assessment or intervention.
2. Individuals referred by health care providers for cardiac evaluation and therapeutic procedures.
3. Patients experiencing chest pain, shortness of breath, or other cardiac symptoms that necessitate catheterization.

People Also Ask about

What is a cardiac cath lab?

A cardiac catheterization lab, also known as a “cardiac cath lab,” is a specialized area in the hospital where doctors perform minimally invasive tests and advanced cardiac procedures to diagnose and treat cardiovascular disease.

What do cardiologists do in the cath lab?

In cardiac catheterization (heart catheterization), an interventional cardiologist places a catheter through a blood vessel in your wrist or groin and uses imaging to guide it to the blood vessels in your heart. We may use cardiac catheterization to diagnose problems with your heart muscle, blood vessels, or valves.

What is the difference between a cath lab and an operating room?

Operating rooms are typically used for open procedures requiring an incision whereas most procedures performed in a cath lab require only a needle stick to feed the catheter through an artery or vein. The only exception is with pacemaker placement which does require a small incision to place the device.

What is the abbreviation for cardiac catheterization laboratory?

Cardiac catheterization is usually done in a hospital room with special X-ray and imaging machines. The room is often called a cath lab, which is short for cardiac catheterization lab.

What is the CPT code for cardiac catheterization lab?

CPT codes 93454 and 93455 may be billed only once per catheterization. CPT codes for Cardiac Catheterization include all dye injections for angiography, catheter insertion/replacement and repositioning, and the supervision and interpretation. Component services are no longer separately billable.

What is a cardiac catheterization test?

Cardiac catheterization involves passing a thin flexible tube (catheter) into the right or left side of the heart. The catheter is most often inserted from the groin or the arm. Cardiac catheterization is used to study the various functions of the heart.

What is a cardiac catheterization lab?

A catheterization laboratory, or cath lab, is a procedural hospital room where minimally invasive tests and procedures are performed to diagnose and treat cardiovascular disease.

What labs are needed for cardiac catheterization?

Before your cardiac catheterization, your physician will arrange for you to have several routine tests, including an EKG, blood work and a chest X-ray. Your doctor will also provide you with a few instructions to follow before your procedure.

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What is BWH Cardiac Catheterization Laboratory Request?

The BWH Cardiac Catheterization Laboratory Request is a formal document used by healthcare providers to request cardiac catheterization procedures for patients at Brigham and Women's Hospital.

Who is required to file BWH Cardiac Catheterization Laboratory Request?

Healthcare providers, such as physicians or cardiologists, are required to file the BWH Cardiac Catheterization Laboratory Request to initiate the catheterization process for their patients.

How to fill out BWH Cardiac Catheterization Laboratory Request?

To fill out the BWH Cardiac Catheterization Laboratory Request, providers must include patient information, details of the requested procedure, clinical indications, and any relevant medical history.

What is the purpose of BWH Cardiac Catheterization Laboratory Request?

The purpose of the BWH Cardiac Catheterization Laboratory Request is to facilitate the scheduling and documentation of cardiac catheterization procedures, ensuring proper patient management and care.

What information must be reported on BWH Cardiac Catheterization Laboratory Request?

The information that must be reported includes the patient's demographics, procedure type, clinical indications, contraindications, and any previous relevant tests or procedures.