This is the IMPACT Registry February 2025 case scenario, where we will discuss Section D, Procedure Information. A 60-year-old male with PDA closure as an infant presents to the cath lab to evaluate his recurrent atrial fibrillation and angina. The patient has a history of coronary artery disease hypertension, prior MI with PCI, and prior EP ablation for atrial fibrillation. Physician A performs a diagnostic coronary angiography via the right femoral artery. Based on the findings of the diagnostic cath, it is determined that the patient's symptoms will be medically managed. Physician B then begins an EP procedure via the right femoral vein, and the EP ablation procedure is performed. The sheaths are removed from both access sites. Physician B scrubs out and leaves the cath lab. Our question is, is this number one, one, as in the same cath lab visit, or number two, two different cath lab visits? Please take a moment to review the documentation and question before making your final answer. And the answer is number one, one or the same cath lab visit. For the purposes of the registry, a procedure is synonymous with cath lab visit, thus these events are all part of the same procedure. Follow-up question, how is sequence number 5035 operators NPI coded? Number one, first operator, physician A. Number two, second operator, physician B. Number three, either operator. Or number four, leave blank. Please take a moment to review the selections before making your final answer. And the answer is number three, either operator. When the patient has multiple procedures during the same cath lab visit, the operator NPI identified or coded occurs at the discretion of the facility. An additional question, how is sequence 5047, 5048 procedure start date and time coded? Number one, the date and time the operator identified in sequence 5035 starts their procedure. Number two, the date and time of the first skin incision vascular access was made in order to start the procedure. Or number three, the date and time the first sheath was inserted. Please take an opportunity to review before making your answer. And the answer is number two, the date and time of the skin incision or vascular access was made in order to start the procedure. In the given scenario, this is considered one procedure. When the patient has multiple procedures with multiple physicians, as an example, diagnostic cath, pacemaker insertion, ASD closure, et cetera, then the start of the procedure is when skin incision or vascular access was made in order to start the procedure. Another question, how is sequence number 5057, 5058 procedure end date and time coded? Number one, the date and time physician A breaks scrub. Number two, the date and time the operator who has identified in sequence 5035 breaks scrub. Number three, the date and time physician B breaks scrub. Or number four, the date and time the sheets are removed. And here's one last opportunity to review documentation before selecting an answer to the final question. And the answer is number three, the date and time physician B breaks scrub. When the patient has multiple procedures with multiple physicians, then the end of the procedure is when the last operator breaks scrub for the final time. If this is not clearly documented in the patient's medical record, then please code the date and time the patient leaves the cath lab procedure room. Thank you for viewing the impact registry case scenario for February 2025, where we discussed section D procedure information.

Tetralogy of Fallot

pulmonary stenosis

PDA stenting

prostaglandin E

diagnostic cath

IMPACT Registry

atrial fibrillation

coronary angiography

EP ablation

cath lab