This is the Impact Registry May 2021 case scenario reviewing Sequence 3200 Chronic Lung Disease. A 6-year-old female with a history of Down syndrome, asthma, tonsillectomy adenoidectomy, obstructive sleep apnea, and ASD with repair is reported by her parents to be experiencing increasing shortness of breath, syncopal episodes, and becomes easily fatigued with minimal activity. Because of her past history, an echocardiogram is performed, which is highly suggestive of pulmonary hypertension, and she presents to the cath lab for a diagnostic cath to evaluate, which is negative. How is Sequence 3200 Chronic Lung Disease coded? No or Yes? Here is the documentation and the question for review. In the given scenario, No is coded in Sequence 3200 Chronic Lung Disease. The supporting definition of Sequence 3200 clarifies that patients with asthma or seasonal allergies are not considered to have chronic lung disease. Additionally, obstructive sleep apnea occurs when the muscles that support the soft tissues of the throat, such as the tongue and soft palate, temporarily relax. When these muscles relax, the airway is narrowed or closed, and breathing is momentarily cut off. Thank you for viewing the Impact Registry Monthly Case Scenario for May 2021.

Sequence 3200 Chronic Lung Disease

Impact Registry

case scenario review

6-year-old female

Down syndrome