0621 - Sequence # 4026 | Single Ventricle-0621 - Sequence # 4026

Video Transcription

This is the Impact Registry June 2021 case scenario reviewing sequence 4026, single ventricle.  A three-year-old male has a history of hypoplastic left heart syndrome with staged surgical treatments.  Because of his worsening clinical status and worsening heart failure, the patient undergoes a heart transplant 15 months ago.  He now presents to the cath lab for a right heart cath and biopsy. How is sequence 4026 single ventricle coded? No or yes? Here is the documentation and question for your review.  In the given scenario, no is coded to sequence 4026, single ventricle. The intent is to capture when the patient has a current condition of single ventricle.  In the given scenario, the patient no longer has single ventricle, secondary to a heart transplant, and no would be coded.  Thank you for viewing the Impact Registry monthly case scenario for June 2021.

Video Summary

In this video, the Impact Registry presents a case scenario involving sequence 4026, single ventricle. A three-year-old male with a history of hypoplastic left heart syndrome undergoes a heart transplant 15 months ago due to worsening clinical status and heart failure. He now undergoes a right heart cath and biopsy. The question posed is how sequence 4026 single ventricle should be coded for this patient. The answer is no, as the patient no longer has single ventricle after the heart transplant. This video is part of the Impact Registry monthly case scenario for June 2021.

Keywords

Impact Registry

case scenario

sequence 4026

single ventricle

heart transplant