IMPACT-0322 - Sequence # 8140 | Other Vascular Complications Requiring Treatment-0322 - Sequence # 8140 | Other Vascular Complications Requiring Treatment

0322 - Sequence # 8140 | Other Vascular Complications Requiring Treatment

Video Transcription

Video Summary

The video discusses a case scenario from the IMPACT Registry in March 2022 regarding sequence number 8140, "Other Vascular Complications Requiring Treatment." The scenario involves a 15-year-old female with narrow QRS tachycardia, unsuccessful response to vagal maneuvers, and inadequate medication management. During the electrophysiology cath procedure, the physician cannot insert the femoral sheath into the right femoral artery and instead gains access through the left femoral artery. Within 24 hours, the patient develops a pseudoaneurysm in the right femoral artery, requiring a fibrin injection and subsequent vascular surgery for hematoma evacuation in the right groin. The question of how sequence number 8140 should be coded is posed, with the answer being "no." Other Vascular Complications includes complications at the percutaneous entry site that require treatment. The percutaneous entry site is identified through sequence numbers 5090 or 5110. The video is a monthly case scenario for the Impact Registry in March 2022, and more information can be found at www.fema.gov.

Keywords

IMPACT Registry

case scenario

vascular complications

femoral artery

pseudoaneurysm