0522 - Sequence # 6060 | Qp/Qs Ratio-0522 - Sequence # 6060

Video Transcription

Welcome to the IMPACT Registry May 2022 case scenario, where we cover sequence number 60-60 QP-QS ratio.  A 55-year-old male with a late diagnosis atrial septal defect who previously declined corrective  surgery now presents to the facility with worsening shortness of breath, fatigue, and chest discomfort.  His chest x-ray demonstrates cardiomegaly and large pulmonary arteries, suggestive of pulmonary hypertension.  The patient has a diagnostic right heart cath in which the physician documented assessments and calculations were performed to determine the patient's QP-QS ratio.  Saturation percentages are dictated along with the left ventricular outflow tract diameter, but a QP-QS ratio was not provided.  Our question, how is sequence number 60-60 QP-QS ratio coded?  Please take a few moments to review the documentation and the question before considering your final response. And the answer is to leave it blank.  The hemodynamics must be provided by the physician involved in the specific patient case.  The calculation for these measurements cannot be determined or provided by the IMPACT Registry staff, nor is it the responsibility of the abstractor to determine.  The patient's congenital cardiac condition must be taken into consideration when determining which values best represent data requested.  Selecting not assessed is not an option for this data element in the given scenario as  the physician dictated that hemodynamic measurements were obtained, including the QP-QS ratio for the cath lab procedure.  It will be necessary to work with the cath lab staff and physician in obtaining this information.  Thank you for viewing the IMPACT Registry monthly case scenario for May of 2022, where we discussed sequence number 60-60 QP-QS ratio.

Video Summary

The video discusses a case scenario in the IMPACT Registry involving a 55-year-old male with a late diagnosis atrial septal defect who previously declined surgery. The patient presents with worsening symptoms and cardiomegaly, suggesting pulmonary hypertension. The physician performs a diagnostic right heart cath to assess the patient's condition, including the QP-QS ratio. However, the video states that the QP-QS ratio was not provided and emphasizes that it is the responsibility of the physician to determine and document these hemodynamic measurements. The video concludes by explaining that the information should be obtained from the cath lab staff and physician. No credits are mentioned in the transcript.

Keywords

IMPACT Registry

atrial septal defect

pulmonary hypertension

diagnostic right heart cath

hemodynamic measurements