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

Video Transcription

Welcome to the IMPACT Registry March 2022 case scenario, where we will discuss sequence number 8140, Other Vascular Complications Requiring Treatment.  A 15-year-old female with narrow QRS tachycardia, unresponsive to vagal maneuvers, and poorly managed by current medications, undergoes an electrophysiology cath.  The physician is unable to insert the femoral sheath into the right femoral artery and succeeds in obtaining access at the left femoral artery for the procedure.  Within 24 hours, the patient develops a pseudoaneurysm to the right femoral artery and requires a fibrin injection and then an extensive hematoma, resulting in vascular surgery for evacuation of the right groin hematoma.  Our question is, how is sequence number 8140, Other Vascular Complications Requiring Treatment, coded? Number one, no. Or number two, yes.  Please take a moment to review the documentation and question and responses before making your selection.  And the answer is number one, no.  Other Vascular Complications seeks to capture any other vascular complications at the percutaneous entry site that require treatment or intervention.  The percutaneous entry site is identified in sequence 5090, venous access site, or sequence 5110, arterial access site.  Thank you for viewing the Impact Registry Monthly Case Scenario for March of 2022.  For more information, visit www.fema.gov

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