1020 - Sequence # 5010 & 5001 | Coding a PFO Closure when Performed with an ASD Closure-1020 - Sequence # 5010 & 5001 | Coding a PFO Closure when Performed with an ASD Closure

Video Transcription

This is the Impact Registry October 2020 case scenario coding a PFO, sequence 5010, when performed with an ASD closure, sequence 5001.  We have documentation of a 10-year-old boy requiring an ASD closure. The patient has a known PFO. The PFO closure will be performed in conjunction with the ASD closure.  Would the PFO closure be captured during the ASD closure primary impact procedure, yes or no? Please take a few seconds to review the documentation and the question.  In the given scenario, sequence 5000, diagnostic cath, would be coded yes. Sequence 5001, ASD closure, would be coded yes.  And sequence 5010, specific procedure, procedure ID, 460, PFO closure, would be coded.  Additionally, atrial septal defect is a congenital heart defect in which the wall that separates the upper chambers of the heart, the atria, does not close completely.  While the patent foramen ovale is a hole in the wall of the septum, PFOs occur after birth when the foramen ovale fails to close at birth.  This is not considered a congenital defect. Thank you for viewing the Impact Registry monthly case scenario for October 2020.

Video Summary

In this video, the Impact Registry presents a case scenario involving the coding of a PFO closure (sequence 5010) performed alongside an ASD closure (sequence 5001). The scenario involves a 10-year-old boy with a known PFO, and the question is whether the PFO closure should be captured during the ASD closure primary impact procedure. The recommended coding is as follows: sequence 5000, diagnostic cath, should be coded as yes; sequence 5001, ASD closure, should be coded as yes; and sequence 5010, PFO closure, should be coded. The video also provides additional information on atrial septal defects and patent foramen ovale. No credits are granted in the video.

Keywords

Impact Registry

case scenario

coding

PFO closure

ASD closure