This is the IMPACT Registry December 2024 case scenario where we will discuss procedures performed. A 20-day-old male infant is transferred to a tertiary care center due to cyanosis and heart murmur. On exam, his heart rate is 140 beats per minute, oxygen saturation on room air is 65%, and a pronounced heart murmur is noted. The chest x-ray shows no cardiomegaly, an echocardiogram is performed, and the patient is diagnosed with Tetralogy of Fallot, critical pulmonary stenosis, and patent ductus arteriosus. The infant is started on prostaglandin E infusion and taken to the cath lab. Diagnostic evaluation reveals multiple anomalies, and PDA stenting performed. Our question is, how is procedures performed coded in the given scenario? Is it sequence 5005 PDA closure, sequence 5000 diagnostic cath, and sequence 5010 specific procedure, or sequence 5000 diagnostic cath, sequence 5005 PDA closure, and sequence 5010 specific procedure? Please take a few moments to review the documentation before making your final determination. And the answer is number two, sequence 5000 diagnostic cath and sequence 5010 specific procedure. Sequence 5005 PDA closure would not be selected in the given scenario, as the supporting definition of PDA closure is not met. A PDA closure introduces a device into the patient to correct the congenital defect by blocking blood flow through the vessel. PDA closure uses devices that occlude or block or stop blood flow through the vessel, such as coils, vascular plugs, and duct occluders. The stenting of the PDA, rather, would be captured in sequence 5010 specific procedure, procedure ID 760 stent insertion PDA. Thank you for viewing the impact registry case scenario for December 2024, where we discussed procedures performed.

STEMI

cardiac catheterization

coronary artery disease

femoral access site bleeding

blood transfusion

Tetralogy of Fallot

pulmonary stenosis

PDA stenting

prostaglandin E

diagnostic cath