This is the CATH PCI case scenario for March 2021, Section L discharge, sequence number 10.115, Hospice Care. A 79-year-old female with a history of diabetes mellitus, recurrent UTI, presents to the emergency department for abdominal pain, fever, and dysuria. Upon examination, she is lethargic with a blood pressure of 89 over 55, heart rate of 110, shallow respirations at 30, and her pulse oximeter on room air is 80%. She is intubated to protect her airway. IVs are having minimal effect, so a vasopressor is started and IV antibiotics are administered. Her initial ECG shows a sinus tachycardia with no acute ischemic changes and troponins are negative. She is admitted to the ICU with septic shock. Repeat labs demonstrate elevated biomarkers and a repeat ECG is positive for STEMI. The patient is taken emergently to the CATH lab and receives PCI to her proximal CERC. Despite aggressive treatment strategies and multiple inotropes, the patient experiences multi-organ failure. After discussion with the patient's family, the decision is made to withdraw life support, provide comfort care, and transfer to hospice. However, the patient expires prior to transfer. Our question is, how is sequence number 10.115 hospice care coded? Number one, no. Number two, yes. Or number three, not available for coding. Please take a few moments to review the documentation before making your final selection. And the answer is, number three, not available for coding. Sequence number 10.115 hospice care is only available for coding when the patient is alive at the time of discharge. When the patient has a discharge status in sequence 10.105 coded alive, then the opportunity to indicate if the patient was discharged alive on hospice care is coded. Hospice care is coded at the time of discharge when the patient's discharge status is alive. When the patient is never discharged from the facility and expires, then sequence number 10.105 discharge status will be coded deceased. And the patient will be an observed mortality for metric and non-metric years. And the patient will be an observed mortality for metric 48, PCI in-hospital risk standardized mortality. At the patient level, the model will include all patients with a PCI procedure performed during their episode of care or hospital stay. Thank you for viewing the CAF PCI registry monthly case scenario for March of 2021, where we discussed section L discharge, sequence number 10.115 hospice care.

diabetes

recurrent UTI

abdominal pain

fever

difficulty urinating