1121 - Sequence # 7620 | PDA Classification-1121 - Sequence # 7620

Video Transcription

Welcome to the IMPACT Registry November 2021 Monthly Case Scenario, Sequence Number 7620, PDA Classification.  A six-month-old female is brought in by parents to the emergency department for fussiness, difficulty feeding, tachypnea, and periods of apnea.  Her parents date the infant was born prematurely at 30 weeks, and shortly after birth the infant  experienced mild respiratory distress, but did not require assistance and was medically treated for PDA.  The infant has been doing well since being released from the hospital, but now is experiencing tachypnea and periods of apnea.  She is admitted for failure to thrive, respiratory insufficiency, and rule-out pulmonary hypertension secondary to the PDA.  The patient is taken to the cath lab for a PDA closure with a post-procedure diagnosis of a Type F PDA. Our question is, how is Sequence Number 7620 PDA Classification coded?  Type A conical, Type B window, Type C tubular, Type D complex, Type E elongated, or leave blank. Please review the documentation and question before making your selection.  And the answer is, Number 6, leave blank. Because Type F is not an option, Sequence Number 7620 PDA Classification will be left blank.  PDAs are currently classified as Types A through E using Krechenko's classification. The inability to identify this PDA type in the registry represents a current limitation  of the data collection process. Thank you for viewing the IMPACT Registry Monthly Case Scenario for November 2021, Sequence Number 7620 PDA Classification.  For more information, please visit www.impact.com.

Video Summary

In this video, a case scenario is presented involving a six-month-old female who was born prematurely and had experienced respiratory distress shortly after birth. The infant is brought to the emergency department for fussiness, difficulty feeding, tachypnea (rapid breathing), and periods of apnea (temporary cessation of breathing). She is admitted for failure to thrive, respiratory insufficiency, and to rule out pulmonary hypertension due to a Patent Ductus Arteriosus (PDA). The patient undergoes a PDA closure in the cath lab and is diagnosed with a Type F PDA. The video explains that the PDA classification for Sequence Number 7620 cannot be coded as it is not listed as an option. PDAs are currently classified as Types A through E. The video acknowledges that the inability to identify the Type F PDA in the registry is a limitation of the data collection process. The video concludes with credits and a website for further information.

Keywords

case scenario

six-month-old female

respiratory distress

emergency department

failure to thrive