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0821 - Sequence # 8130 | RBC Transfusion
0821 - Sequence # 8130 | RBC Transfusion
0821 - Sequence # 8130 | RBC Transfusion
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Video Transcription
This is the impact registry August 2021 case scenario sequence number 8130. Red blood cell transfusion 58 year old male with a history of dextrocardia and repair. Presents to the emergency department for chest pressure for the past 3 days. That is also associated with shortness of breath and lightheadedness. Patient reports a strong family history of coronary artery disease. His ECG is negative for STEMI biomarkers are negative and hemoglobin is 8.0 grams per deciliter. Because of his medical history and strong family history of coronary artery disease. Patient is taken to the cath lab where a diagnostic cath reveals an 80% occluded proximal led. That is treated with a drug eluting stem 6 hours. Post cath the hospital is this rights in order for a transfusion secondary to a new year. Question I was sequence number 8130 red blood cell transfusion coded in the given scenario. Is it number 1? No. Or number 2, yes, please. Take a moment to review the documentation and the selections. And the answer is number 2. Yes. Sequence number 8136 to capture when the patient receives a transfusion of either whole blood or pack red blood cells meeting the target value of any occurrence. Between the start of procedure and 72 hours post procedure or next procedure surgery or discharges met regardless of any documentation in the patient's medical record. Because red blood cell transfusion is the parent data element, then sequence 8131 drop in hemoglobin greater than or equal to 3 grams per deciliter. Sequence 8132 anemia prior to cath procedure. Sequence number 8133 postoperative blood loss. And sequence number 8134 ECMO blood replacement must be answered. Thank you for viewing the impact registry monthly case scenario for August 2021 sequence number 8130 red blood cell transfusion. Thank you for viewing the impact registry monthly case scenario for August 2021 sequence number 8130 red blood cell transfusion.
Video Summary
In this video, sequence number 8130 of the Impact Registry August 2021 case scenario is discussed. The case involves a 58-year-old male with a history of dextrocardia and repair. He presents to the emergency department with chest pressure, shortness of breath, and lightheadedness, along with a family history of coronary artery disease. The patient undergoes a diagnostic catheterization, revealing an 80% occluded proximal led, which is treated with a drug eluting stem. Post-catheterization, the hospital performs a red blood cell transfusion. The correct coding for this scenario is sequence number 8136, which captures the occurrence of a transfusion meeting the target value within 72 hours post-procedure.
Keywords
Impact Registry
case scenario
sequence number 8130
chest pressure
shortness of breath
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