Welcome to the IMPACT Registry February 2022 case scenario, where we will discuss sequence number 11101, post-dilation of transcatheter pulmonary valve. An 18-year-old male with a history of pulmonary atresia, Tetralogy of Fallot, and VSD, who underwent his first surgical procedure 15 years ago, complains of increasing shortness of breath and is found to have New York Heart Association Class II heart failure. His echocardiogram demonstrates significant stenosis and insufficiency of the conduit and moderate dilation of the RV, and he presents for TPVR. Angiographic assessment of the RVPA conduit is performed to assess the severity of his pulmonary regurgitation and stenosis. No risk of coronary artery compression noted. The conduit is prepped and the valve is delivered and placed. After the device is placed, the valve delivery balloon is inflated and the valve position is confirmed with angiography. Our question is, how is sequence 11101 post-dilation of TPV coded? Number one, no. Or number two, yes. Please take a moment to review the documentation and question before making your selection. And the answer is number one, no. Sequence number 11101 seeks to capture if post-dilation of the transcatheter pulmonary valve was performed with a new balloon. Any use of the valve delivery balloon to ensure proper valve placement should not be considered a post-dilation by that device. Thank you for viewing the Impact Registry Monthly Case Scenario for February 2022, sequence number 11101 post-dilation TPV.

IMPACT Registry

pulmonary atresia

Tetralogy of Fallot

VSD

TPVR