Welcome to the Impact Registry case scenario for February 2024. This scenario will cover sequence number 5058, Procedure End Time. This case scenario is of a 2-year-old male with a history of hypoplastic left heart syndrome, status post stage reconstruction, who presents to the cath lab for evaluation and treatment. Due to the complexity of the case, multiple physicians are present. The patient undergoes a diagnostic cath and balloon angioplasty of a previously placed valve. The procedure log or event log documentation is as follows. At 10 a.m., the case ended. The procedure ended. At 10.15, the lab results to physicians and acknowledged. At 10.20, the diagnostic doctor, A, left the room and scrubbed out. At 10.25, diagnostic doctor B scrubbed out and went out of the room. And at 10.40, the interventional cardiologist, Dr. C, left the room and scrubbed out. The question we have for you is how is sequence number 5058, Procedure End Time, coded? 1. 10 a.m., when the case ended. 2. 10.20, when diagnostic doctor A left the room. 3. At 10.25, when diagnostic doctor B left the room. Or 4. 10.40, when the interventional cardiologist, Dr. C, left the room. Please take a few moments to review the answers that you could select from. And the answer is number 4. 10.40 a.m., when the interventional cardiologist, Dr. C, left the room. When the patient has multiple procedures with multiple physicians, for example, diagnostic cath, pacemaker insertion, EP study, etc., the procedure end time is when the last or final operator breaks scrub and would be coded for sequence number 5058, Procedure End Time. Thank you for viewing the Impact Registry Case Scenario for February 2024.

ischemic cardiomyopathy

evaluation

sequence number 3170

cardiomyopathy history

dilated cardiomyopathy

2-year-old male

hypoplastic left heart syndrome

cath lab procedure

diagnostic cath

balloon angioplasty