The February 2020 case scenario for the chest PNMI registry is reviewing sequence 7850 patient-centered reason for delay. In this scenario, we have a 66-year-old male with a past medical history of chronic kidney disease, hypertension, and diabetes who presents to the ED. The patient reports that this morning he started experiencing shortness of breath, increasing episodes of chest pressure with exertion, and bilateral leg swelling. Labs obtained and resulted a hemoglobin of 10, creatinine of 6.1, and positive troponins. An ECG is positive for STEMI, and the cath lab is activated. The on-call interventionalist requests that the ED obtain a repeat creatinine and a nephrology consult be obtained prior to proceeding with PCI. Question, how is sequence 7850 patient-centered reason for delay coded? Please take a moment to review. And the answer to sequence 7850 patient-centered reason for delay would be coded as no. Sequence 7850 patient-centered reason for delay in PCI is indicating if there was a patient-centered reason for delay identified in the first 90 minutes after arrival at this facility and affecting the time to PCI. Additionally, a patient-centered reason for delay is an issue, condition, understood, and document to originate with the patient. It is not associated with the health care system. In the given scenario, the consult and repeat creatinine draws occurs at the discretion of the physician. The patient is not obstructing their pathway to the cath lab. Thank you for viewing the chest PNMI registry monthly case scenario for February 2020.

chest PNMI registry

case scenario

STEMI

nephrology consult

patient-centered reason for delay