This is the Impact Registry January 2020 case scenario sequence number 8160 Unplanned Cardiac Surgery Due to Cath Complication. A 28-year-old male with a history of Tetralogy of Fallot presents to the ED complaining of extreme fatigue, shortness of breath, and exercise intolerance. He states he has had multiple corrective surgeries. The most recent was 8 years ago where he experienced complications during the procedure that required an ICD. The patient reports that the ICD has discharged several times this week because of rapid heart rate. Because of this extensive history and the concern that his valve is failing, the patient opts for a TPVR procedure. The patient undergoes a TPVR procedure and is discharged from the hospital the following morning with instructions to follow up in the clinic in one week. Less than 24 hours after discharge, the patient returns to the emergency department complaining of severe shortness of breath and chest pain. The ECG obtained shows arrhythmias and a stat bedside echo shows valve malposition. The patient is taken emergently to the cath lab for valve retrieval. How is Sequence 8160, Unplanned Cardiac Surgery Due to Cath Complication, coded in the given scenario? Is it No or Yes? And to review, When the answer is No, would be coded for Unplanned Cardiac Surgery Due to Cath Complication. While the device malposition and retrieval are unplanned, the target value of any occurrence between start of procedure and 72 hours post-procedure or next procedure surgery or discharge is not met. The data collection process is complete once the patient is discharged from the facility. In the given scenario, when the patient subsequently returns less than 24 hours later, this begins their new episode of care. Thank you for viewing the Impact Registry Monthly Case Scenario for January 2020, Sequence Number 8160, Unplanned Cardiac Surgery Due to Cath Complication.

Unplanned Cardiac Surgery

Cath Complication

Tetralogy of Fallot

ICD

TPVR procedure