0921 - Sequence # 8035 | Tamponade Requiring Pericardial Drainage-0921 - Sequence # 8035

Video Transcription

Welcome to the IMPACT Registry September 2021 Monthly Case Scenario, sequence number 8035, Tamponade Requiring Pericardial Drainage.  A 34-year-old male with a history of Tetralogy of Fallot repair presents to the emergency department with complaints of chest pain times one day.  The ECG obtained is suspicious for STEMI in comparison to a previous ECG obtained six months prior, and a STAT echocardiogram confirms new wall abnormalities.  The patient is taken urgently to the cath lab where he receives thrombectomy and angioplasty to the proximal LED and mid-LED.  Later that evening, the patient complains of increasing shortness of breath and chest pain. He is hypotensive with systolic blood pressure in the 90s and an increasing heart rate.  The bedside echocardiogram demonstrates a large pericardial effusion which is treated with ultrasound-guided pericardiocentesis.  Our question is, how is sequence number 8035, Tamponade Requiring Pericardial Drainage, coded? Is it number one, no, or number two, yes?  And the answer is number two, yes. The coding instructions and supporting definition of cardiac tamponade are met in the given scenario.  The patient experienced fluid in the pericardial space compromising cardiac filling and requiring intervention.  Thank you for viewing the Impact Registry Monthly Case Scenario for September 2021, sequence number 8035, Tamponade Requiring Pericardial Drainage.

Video Summary

In the video, a case scenario is presented where a 34-year-old male with a history of Tetralogy of Fallot repair comes to the emergency department with chest pain. The patient's ECG shows signs of STEMI compared to a previous ECG obtained six months ago, and an echocardiogram confirms new wall abnormalities. The patient undergoes thrombectomy and angioplasty in the cath lab. However, later in the evening, the patient experiences increasing shortness of breath and chest pain. A bedside echocardiogram reveals a large pericardial effusion, which is treated with ultrasound-guided pericardiocentesis. The video ends by stating that the case scenario, numbered 8035, involves Tamponade Requiring Pericardial Drainage and should be coded accordingly using the provided coding instructions and definition.

Keywords

Tetralogy of Fallot repair

STEMI

pericardial effusion

ultrasound-guided pericardiocentesis

Tamponade Requiring Pericardial Drainage