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0822 - Sequence # 8070 | New Requirement for Dialy ...
0822 - Sequence # 8070 | New Requirement for Dialy ...
0822 - Sequence # 8070 | New Requirement for Dialysis
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Video Transcription
Welcome to the IMPACT Registry August 2022 case scenario for Sequence 8070, New Requirement for Dialysis. A 23-year-old female presents to the emergency department with complaints of increasing shortness of breath and general fatigue. The patient has a history of Tetralogy of Fallot with multiple corrective surgeries since birth, including a bioprosthetic valve replacement. Her pre-procedure creatinine is 2.2 mg per deciliter and blood pressure is 160 over 90. The patient is taken to the cath lab for evaluation. Post-procedure, the patient experiences worsening glomerular filtration rates, increasing creatinine levels, and orders are placed for temporary dialysis. However, before dialysis can begin, the patient leaves against medical advice. How is Sequence number 8070, New Requirement for Dialysis coded? Number one, no. Or number two, yes. Please take a few moments to review the documentation and the question before making your final response. And the answer is yes. The coding instructions are met in the given scenario. Sequence number 8070, New Requirement for Dialysis, seeks to capture if the patient experienced acute or worsening renal failure necessitating dialysis. In the given scenario, the patient experienced worsening renal failure that necessitated dialysis meeting the target value. Thank you for viewing the Impact Registry Monthly Case Scenario for August of 2022, Sequence number 8070, New Requirement for Dialysis.
Video Summary
The video is a case scenario for Sequence 8070 in the IMPACT Registry for August 2022. A 23-year-old female with Tetralogy of Fallot presents to the emergency department with shortness of breath and fatigue. She has had corrective surgeries and a bioprosthetic valve replacement. Her creatinine is high and blood pressure is elevated. After evaluation in the cath lab, her renal function worsens and she needs temporary dialysis, but she leaves against medical advice before it can start. According to the coding instructions, the scenario meets the criteria for Sequence 8070, indicating a new requirement for dialysis due to acute or worsening renal failure.
Keywords
Sequence 8070
IMPACT Registry
Tetralogy of Fallot
emergency department
renal failure
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