0722 - Sequence # 8130 | RBC Transfusion-0722 - Sequence # 8130

Video Transcription

This is the IMPACT Registry July 2022 case scenario, where we will review sequence number 8130, red blood cell transfusion.  A 17-year-old female with a history of bicuspid aortic valve with stenosis and regurgitation complains of increasing shortness of breath, heart failure, and palpitations.  The patient presents for an elective aortic valvuloplasty. Pre-procedure labs are hemoglobin of 10.3, creatinine of 0.8.  During the procedure, a hematoma develops at the femoral access site, but otherwise the procedure is successful and uneventful.  The patient is admitted for overnight observation, and the AM hemoglobin the next day is 8 grams.  Given the patient's continued complaints of shortness of breath, a single unit of PACRED blood cells is administered.  Our question is, how is sequence number 8130, red blood cell transfusion coded? Number one, no. Or number two, yes.  Please take a few moments to review the documentation and question before determining your answer.  And the answer is number two, yes. The transfusion administered meets the coding instructions and target value.  Thank you for viewing the MPAC Registry Monthly Case Scenario for July of 2022, where we reviewed sequence number 8130, red blood cell transfusion.

Video Summary

This is a summary of the IMPACT Registry July 2022 case scenario, which focuses on sequence number 8130, red blood cell transfusion. The patient is a 17-year-old female with a history of bicuspid aortic valve with stenosis and regurgitation. She presents with symptoms of shortness of breath, heart failure, and palpitations, and undergoes an elective aortic valvuloplasty. The procedure is successful, except for a hematoma at the femoral access site. Afterward, the patient complains of continued shortness of breath and is given a single unit of packed red blood cells. The answer to the coding question is number two, yes. This summary is derived from the IMPACT Registry Monthly Case Scenario for July 2022.

Keywords

red blood cell transfusion

bicuspid aortic valve

shortness of breath

elective aortic valvuloplasty

packed red blood cells