0922 - Sequence # 8071 | Coronary Artery Compression-0922 - Sequence # 8071

Video Transcription

This is the IMPACT Registry September 2022 case scenario. Sequence number 8071, coronary artery compression.  A 38-year-old female with congenital heart disease Ross procedure presents with severe pulmonary homograph stenosis and regurgitation and NYHA class III symptoms.  Due to her multiple corrective surgeries, she is considered a high surgical risk and the decision is made to proceed with a percutaneous transcatheter pulmonary valve replacement.  Hemodynamic assessment and angiography of the right ventricular outflow tract are performed.  During balloon angioplasty of the RVOT coronary artery, compression is noted and the procedure was aborted.  How is sequence number 8071, coronary artery compression coded in the given scenario? Number one, no, or number two, yes.  Please take a few moments to review before making your final selection.  And the answer is number one, no. Sequence number 8071, coronary artery compression seeks to capture if the patient experienced  a coronary artery compression due to treatment and the notes further clarify a coronary artery compression during testing would not qualify and no would be coded.  Thank you for viewing the impact registry monthly case scenario for September of 2022. Sequence number 8071, coronary artery compression.

Video Summary

The video discusses a case scenario in the IMPACT Registry. The patient is a 38-year-old female with congenital heart disease who has undergone multiple corrective surgeries and presents with severe pulmonary homograph stenosis and regurgitation. Due to being at high surgical risk, a decision is made to proceed with a percutaneous transcatheter pulmonary valve replacement. During the procedure, a balloon angioplasty of the right ventricular outflow tract is performed, but coronary artery compression is noted, leading to the procedure being aborted. The question is whether sequence number 8071, coronary artery compression, is coded in the scenario. The correct answer is number one, no. The video concludes by thanking viewers for watching. No credits are mentioned.

Keywords

IMPACT Registry

case scenario

congenital heart disease

pulmonary homograph stenosis

percutaneous transcatheter pulmonary valve replacement