0622 - Sequence # 8075 | Airway Event Requiring Escalation of Care-0622 - Sequence # 8075 | Airway Event Requiring Escalation of Care

Video Transcription

Welcome to the IMPACT Registry June 2022 case scenario where we will discuss sequence number 8075, airway event requiring escalation of care.  A 37-year-old male with history of surgically corrected Tetralogy of Fallot as an infant, sleep apnea and asthma, presents to the emergency department.  The patient states for the past week he has been experiencing increasing shortness of breath, cough, fatigue, and palpitations, all of which are new.  He does not smoke and admits that he has stopped any and all medications previously prescribed to him by his physician.  Labs are normal, ECG shows a right bundle branch block, and a large systolic heart murmur is heard upon auscultation.  A chest x-ray shows mild cardiomegaly, there is no previous films for comparison, and a bedside echocardiogram shows a leaking pulmonary valve.  The patient is admitted to the facility where he undergoes a transcatheter pulmonary valve replacement, TPVR procedure.  Later that evening, the patient complains of shortness of breath with shallow respirations and low oxygen saturation.  A STAT echocardiogram shows no change in the valve position and no increased valve regurgitation. Because of the concern over the patient's hypoventilation, he is started on BiPAP.  Our question is, how is sequence number 8075 airway event requiring escalation of care coded? Number one, no, or number two, yes.  Please take a few moments to review the documentation and question before making your final answer.  And the answer is, yes. The coding instructions and target value are met in the given scenario.  Sequence number 8075 airway event requiring escalation of care would be coded yes when the patient requires escalation of care to manage their airway after the procedure has  started. Airway event requiring escalation of care is coded for airway events such as episodes  of apnea, hypoxia, or obstruction that require escalation of care, and is not specific to only capturing when intubation is required.  Thank you for viewing the impact registry monthly case scenario for June of 2022, where we discussed sequence number 8075 airway event requiring escalation of care.

Video Summary

The video is a case scenario from the IMPACT Registry in June 2022, focusing on sequence number 8075, an airway event requiring escalation of care. The case involves a 37-year-old male with a history of surgically corrected Tetralogy of Fallot, sleep apnea, and asthma. The patient presents to the emergency department with symptoms of increasing shortness of breath, cough, fatigue, and palpitations. After various tests, including labs, ECG, chest x-ray, and echocardiogram, the patient undergoes a transcatheter pulmonary valve replacement. Later on, the patient complains of shortness of breath and low oxygen saturation. A STAT echocardiogram reveals no change in the valve position. Due to hypoventilation concerns, the patient is started on BiPAP. The question posed is whether sequence number 8075 should be coded as an airway event requiring escalation of care, with the answer being yes. The scenario highlights that escalation of care for airway events includes episodes of apnea, hypoxia, or obstruction, not limited to intubation only.

Keywords

IMPACT Registry

case scenario

sequence number 8075

airway event

escalation of care