Welcome, and thank you for taking the time to review the 2024 December case scenario for the EP device implant registry, focused on abstraction of prior coronary artery bypass graft, prior percutaneous coronary intervention, and one of the treatments provided during admission. The patient was admitted for heart failure with NYHA classification of 3. Prior cardiac medical history includes an MI two years ago, which was medically managed, and a recent CT angio with positive results. This admission, the interventionalist performed an angiogram and placed a stent in the distal RCA. A shared decision-making conversation occurred and resulted in a CRTD implant. The error code DC16639 is reflecting the most recent percutaneous coronary intervention date, indicating it should be less than or equal to the arrival date. What is causing the error? Is it number one, PCI procedure date was abstracted with a date outside an allowable target value of the data element? Number two, PCI procedure date was abstracted in the wrong data element? Or number three, both one and two? Please take a few moments to review the documentation and consider the best answer from the available options. The answer is number three. To resolve the error, PCI that occurred during the episode of care is captured in sequence number 10.015 as yes, and the associated PCI date is coded in sequence 10.020, PCI date, as the target value is met of the first value between arrival and discharge. The abstractor incidentally coded the PCI that occurred in this admission in the history section, causing the error code DC16639 and preventing the submission of the quarters data to NCDR. If and when the most recent coronary artery bypass graft occurred in this admission and it's coded in the history section, this will cause the error code DC16642. Prior coronary artery bypass graft and prior percutaneous coronary intervention are to be captured as part of the procedure history section. The treatment must be prior to the admission date. When the patient has CABG during the admission, they are captured as sequence 10.005, coronary artery bypass graft, yes, and sequence 10.010, coronary artery bypass graft date with the date of the CABG. When PCI is performed during the admission, it is captured as sequence 10.015, percutaneous coronary intervention, yes, sequence 10.020, percutaneous coronary intervention date with the PCI procedure date. Please access resource documents and the user guide documents listed within the EP Device Implant Registry Data Quality Report or DQR companion guide, which contain all of the possible DQR error codes and can assist with understanding and coming to a resolution. Thank you for viewing the 2024 December case scenario.

ACC EP Device Implant Registry

public reporting

cardiovascular care

p-score metrics

data submission criteria

EP device implant registry

percutaneous coronary intervention

coronary artery bypass graft

abstraction error

shared decision-making