Welcome to the Peripheral Endovascular Note Generator

1 · Doctor 2 · Prior bypass 3 · Approach & Dx
Step 1 — Please enter the doctor's name
Step 2 — Previous bypass surgery
This section is optional and can be added later. ⚠️ If you plan to access a bypass graft, it is recommended to enter the bypass now.
Step 3 — Presentation, diagnosis & access approach
Presentation:
Pre-procedure diagnosis (select all that apply):
Access approach:

Initial Access

Access approach:
Set the access details and sheath options for this approach below.
Click a vessel on the diagram
Drag the sheath onto the additional access vessel  (Esc to cancel)

Additional Access

Sheath (Fr)

Body Floss (Through-and-Through Wire)

Body floss = a flossing wire externalized through two access sites, creating a stable antegrade–retrograde rail across an occlusion (SAFARI technique). Answer the questions below to generate documentation.
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Peripheral Endovascular (Infrarenal-Aorta/Infrainguinal) Note Generator v8.14.2026

© Rodeen Rahbar MD. Use without permission strictly prohibited.
Contains National wRVU and Medicare Washington DC Fee Schedules — contact for further customization.
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Procedure Details
Case Summary
Pre-Procedure Dx:
Access:
Bypass grafts:
Wires, Catheters & Sheaths
Vessel Findings
Billing Options
Complications & Management
Patient Information
Surgical History
Pre-Procedure Diagnosis
Anesthesia & Medications
Fluoroscopy & Contrast
Access Approach
Up and Over Sheath
WIRES & CATHETERS
Access Sheath
Procedures Performed (auto-filled from CPT)
Generate note to auto-populate CPT codes
Vessel Findings Summary

Click vessel segments on diagram

Vascular AnatomyClick to document in the various boxes
(use for additional access including retrograde, body floss, etc)
Initial Access Closure
Click any vessel to document findings, IVUS, intervention
RIGHT LEFT Aorta R CIA R IIA R EIA R CFA R PFA R SFA R Popliteal R TPT R ATA R PTA R Per. R Pedal L CIA L IIA L EIA L CFA L PFA L SFA L Popliteal L TPT L ATA L PTA L Per. L Pedal
Normal
Mild
Moderate
Severe
Occluded
Not Imaged
Generated ReportClick anywhere in green to make changes directly. Billing CPT codes by place of service are at bottom of note — scroll to view.recovery copy on
Fill in form, select approach, click vessels, then Generate Note.

Vessel

Pick the MAXIMUM stenosis in the entire vessel.
Add more detail if desired — list tandem lesions in addition to the maximum, lesion lengths, calcification, etc.

Bypass Graft

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© 2026 Rodeen Rahbar, MD. All rights reserved. Use without permission strictly prohibited.
This software and its underlying clinical documentation and coding logic are proprietary. No part may be copied, distributed, modified, reverse-engineered or used to create derivative works without the express written permission of the copyright holder.
No patient information entered here is transmitted anywhere; it is held in this browser only. Any file you save, print or copy leaves that protection behind and becomes your responsibility to secure.
Disclaimer, Limitation of Liability and Indemnification

No professional advice; clinical and coding judgment remain with the user. This software is provided solely as a documentation aid. It does not constitute medical, coding, billing, legal or reimbursement advice, and it is not a substitute for the independent professional judgment of a licensed physician or a qualified, certified coding professional. Code selection, modifier assignment, medical-necessity determinations and the content of any record submitted for payment remain the sole responsibility of the user and the submitting provider.

Provided “AS IS”; no warranties. The software is provided on an “as is” and “as available” basis, with all faults and without warranty of any kind. To the fullest extent permitted by applicable law, SBV Health, Rodeen Rahbar, M.D., and their respective owners, officers, directors, members, employees, agents, contractors, licensors, affiliates, subsidiaries, successors, assigns, sponsors and advertising partners (collectively, the “Covered Parties”) expressly disclaim all warranties, whether express, implied, statutory or otherwise, including without limitation any implied warranties of merchantability, fitness for a particular purpose, title, accuracy and non-infringement. The Covered Parties do not warrant that the software will be uninterrupted, error-free, complete, current, or that any code, fee, relative-value figure or narrative it generates is accurate, compliant with the requirements of any payer, or appropriate to any particular encounter. Coding rules, fee schedules and payer policies change; the user is solely responsible for verifying all output against the current CPT® code set, applicable NCCI edits, and the rules of each payer before submission.

Limitation of liability. To the fullest extent permitted by applicable law, in no event shall any Covered Party be liable for any indirect, incidental, special, consequential, exemplary or punitive damages, or for any loss of profits, revenue, data, goodwill, reimbursement or business opportunity, or for any claim denial, recoupment, audit finding, penalty, fine, sanction or investigative cost, arising out of or relating to the use of or inability to use this software, whether based in contract, tort (including negligence), strict liability, statute or any other theory, and whether or not any Covered Party has been advised of the possibility of such damages. In no event shall the aggregate liability of the Covered Parties arising out of or relating to the software exceed the total amount, if any, actually paid by the user to SBV Health for use of the software during the twelve (12) months immediately preceding the event giving rise to the claim. Where the user has paid nothing for the software, the Covered Parties shall have no monetary liability whatsoever.

Indemnification. The user agrees to defend, indemnify and hold harmless the Covered Parties from and against any and all claims, demands, actions, proceedings, liabilities, damages, judgments, settlements, penalties, fines, costs and expenses (including reasonable attorneys’ fees and the costs of audit or investigative response) arising out of or relating to: (a) the user’s use of the software; (b) the content, accuracy or completeness of any record, claim or coding determination produced with the assistance of the software; (c) the user’s violation of any applicable law or regulation, including without limitation the Health Insurance Portability and Accountability Act, the False Claims Act, and applicable state privacy and billing laws; or (d) the user’s breach of these terms.

Protected health information; no server-side storage. This software does not transmit, record, store, retain, process or maintain protected health information (“PHI”) on any server, database, cloud service or other system controlled by the Covered Parties. Any patient identifier or other information entered by the user is held transiently in the memory of the user’s own web browser, on the user’s own device, and is discarded when the page is closed. The Covered Parties neither receive nor have access to such information at any time.

Anonymous usage statistics. The software records aggregate counts only — for example, the number of times a given arterial segment was treated, the number of angioplasty, stent or atherectomy procedures documented, and the frequency of particular CPT codes — for the purpose of understanding how the software is used. These counters contain no patient information of any kind: no name, date of birth, medical record number or other identifier; no date or time of service beyond the calendar day on which a counter was incremented; no note text; and no record of any individual case. No entry is retained that describes a person, and no stored value can be attributed to, or linked with, any patient, physician or encounter. Nothing in this paragraph alters the preceding paragraph: PHI is neither transmitted to nor stored by the Covered Parties. Accordingly, the Covered Parties are not a “covered entity” or a “business associate” of the user within the meaning of the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations (45 C.F.R. Parts 160 and 164) (“HIPAA”) with respect to the user’s use of this software, and no business associate agreement is created, required or implied by such use.

User responsibility for local safeguards. Responsibility for the security, confidentiality, integrity and lawful handling of any PHI entered into, displayed by, saved from, printed from, copied from or otherwise derived from this software rests exclusively with the user and, where applicable, the user’s employer or institution. This includes without limitation: the physical and technical security of the device and the network on which the software is run; the encryption, storage location, transmission, retention and destruction of any exported file, printout or clipboard content; access controls, workstation security and session termination; and compliance with HIPAA, the HITECH Act, and all other applicable federal, state and institutional privacy, security and record-retention requirements.

No liability for privacy or security incidents. To the fullest extent permitted by applicable law, the Covered Parties shall have no liability of any kind, and the user waives, releases and shall assert no claim, action, demand or cause of action against any Covered Party, arising out of or relating to any unauthorized access to, disclosure of, loss of, alteration of or failure to safeguard PHI or other confidential information, including without limitation any breach of unsecured PHI, notification obligation, regulatory investigation, civil monetary penalty, corrective action plan, or third-party claim, however caused, occurring on or through the user’s device, network, storage, printer or personnel. The user shall defend, indemnify and hold harmless the Covered Parties from and against all such matters in accordance with the indemnification provision above.

Assumption of risk. Use of this software is entirely at the user’s own risk. If the user does not accept these terms in full, the user must not use the software.

Severability and no waiver. If any provision of this notice is held unenforceable, that provision shall be modified to the minimum extent necessary to make it enforceable and the remaining provisions shall remain in full force and effect. No failure or delay in exercising any right shall operate as a waiver of it. CPT® is a registered trademark of the American Medical Association; all CPT content is copyright the American Medical Association, all rights reserved.