0520 - Sequence # 7080/7090 | Atrial Septal Defect Closure Procedure-0520 - Sequence # 7080/7090

Video Transcription

This is the Impact Registry May 2020 Case Scenario Atrial Septal Defect Closure Procedure. A nine-month-old male infant with a history of recurrent lower respiratory infection,  heart murmur, and failure to thrive presents to the cath lab for ASD closure. The physician introduces a device, but it is not released secondary to the device being  too small for the defect. The physician then introduces a second, bigger device, but it is not released because the device is still too small for the defect.  During this time, the patient begins to experience cardiac arrhythmias and the procedure is stopped.  Question. How is Sequence 7090, Outcome of Device, coded? Is it one, implanted, not released, two, implanted, released, or three, implanted, released, and retrieved?  And to review, in the given scenario, implanted, not released would be coded. The device is introduced into the patient, but it is not released into the defect. Question.  How is Sequence 7080, Residual Shunt Size, immediately after device placement, coded? Is it one, none to trivial, or two, significant?  And to review, and the answer is significant, greater than or equal to three millimeters. Sequence 7080, Residual Shunt Size, immediately after device placement, will be coded with  the residual shunt size of the ASD immediately after device placement. When the patient undergoes an ASD closure and the outcome of device, Sequence 7090,  is implanted, not released, or implanted, released, and retrieved, our understanding is the residual shunt size remains significant, and this is selected for Sequence 7080, Residual  Shunt Size. When the procedure does not have the desired outcome, the goal is not met, and the patient  will not be included in the numerator for metric 13, ASD closures without a device implanted post-procedure, all procedures.  The patient has undergone an invasive procedure and has been exposed to the risks associated  with that procedure, and both the physician and facility should be aware of these occurrences. Thank you for viewing the Impact Registry Monthly Case Scenario for May 2020 Atrial  Septal Defect Closure Procedure.  Thank you for viewing the Impact Registry Monthly Case Scenario for May 2020 Atrial Septal Defect Closure Procedure.

Video Summary

This video transcript is a case scenario of an atrial septal defect (ASD) closure procedure on a nine-month-old male infant. The physician attempts to introduce two different devices, but they are both too small for the defect. The patient experiences cardiac arrhythmias, and the procedure is stopped. The coding for the outcome of the device (Sequence 7090) is "implanted, not released" since the device was introduced but not released into the defect. The coding for the residual shunt size immediately after device placement (Sequence 7080) is "significant" if it is greater than or equal to three millimeters. If the desired outcome is not achieved, the patient will not be counted in metric 13 for ASD closures without a device implanted post-procedure. The video concludes by highlighting the risks associated with invasive procedures. No specific credits were mentioned in the transcript.

Keywords

ASD closure procedure

infant

cardiac arrhythmias

implanted, not released

residual shunt size