CPCI-0823 - Sequence # 7845 | First Device Activation Time-0823 - Sequence # 7845

0823 - Sequence # 7845 | First Device Activation Time

Video Transcription

Video Summary

In this video, a case scenario is presented where a patient presents to the emergency department with chest pain and difficulty breathing. The patient's symptoms became severe and he called 911. Diagnostic tests showed ST elevation on the ECG and heart failure on the chest X-ray. A cardiology consult concluded it was a late-presenting STEMI and the patient was taken to the cath lab for immediate PCI to the proximal LED, which was successful. The question posed is how to code the PCI indication (sequence number 7825) in this scenario. The correct answer is number one, STEMI, immediate PCI for acute STEMI, as the PCI was performed emergently and without delay after diagnosis. It is also mentioned that the onset day and time of symptoms are not coded in this sequence. The video emphasizes the importance of coding based on pre-procedure diagnostic testing conclusions and physician documentation.

Keywords

emergency department

chest pain

difficulty breathing

ST elevation

heart failure