Welcome to the case scenario for the CAF PCI Registry, where we will review sequence number 7511, Native Vessel Adjunctive Measurements Obtained. A 40-year-old female presents after undergoing an outpatient stress test, where her results were positive, with high risk for ischemia features. Her and her cardiologist decide that undergoing a diagnostic cardiac catheterization is the next step. The cardiologist informed of the possibility for PCI, and she agrees to proceed. On the day of the procedure, angiography revealed a 70% lesion in her distal RCA, a 90% lesion in her proximal LAD, and a 50% lesion in her proximal circumflex. She underwent PCI of the proximal LAD. After the PCI, IVUS was performed on the proximal LAD and proximal circumflex. Upon completion, she was transferred to recovery and discharged the next day in stable condition. Our first question, how is sequence number 7511, Native Vessel Adjunctive Measurements Obtained, coded for the proximal circumflex? Number one, yes, or number two, no. Please take a few moments to review the documentation prior to making your final selection. And the answer is number one, yes. Per the data definition, sequence number 7511, Native Vessel Adjunctive Measurement Obtained, is indicating if an invasive diagnostic measurement was obtained of the native vessel segment between start of procedure and prior to intervention. However, prior to intervention is determined at the segment level, not the procedure level, and best reflected on the data collection form, which we will demonstrate here. The parent, sequence 7507, Native Lesion Segment Number for the proximal circumflex, opens the child fields as it relates to the segment during the procedure. And during the procedure, the proximal circumflex was 50% stenosed. Additionally, during the procedure, the proximal circumflex had no intervention. However, it did receive IVUS, so the IVUS would be captured as the target value and coding instructions are met. A second question, how is sequence number 7511, Native Vessel Adjunctive Measurements Obtained, coded for the proximal LAD? Number one, yes, or number two, no. Please, again, take a few moments to review the documentation prior to making your final selection. And the answer is number two, no. And so, again, sequence number 7511 is indicating if an invasive diagnostic measurement of the native vessel segment was obtained between start of procedure and prior to intervention. However, prior to intervention is determined at the segment level, not the procedure level, and best reflected on the data collection form, which we, again, demonstrate here. The parent, sequence 7507, Native Lesion Segment Number for the proximal LAD, opens the child fields as it relates to the segment during the procedure. And during the procedure, the proximal LAD was 90% stenosed. Additionally, during the procedure, the proximal LAD had an intervention, then received IVUS, so the IVUS would not be captured as the target value is not met. From the CATH PCI Registry team, we thank you for viewing this case scenario.

CAF PCI Registry

case scenario

40-year-old female patient

stress test

diagnostic cardiac catheterization