CPCI-0224 - Sequence # 4560 | Currently on Dialysis and Intra and Post Procedure Event | New Requirement for Dialysis-O224 - Sequence # 4560 | Currently on Dialysis and Intra and Post Procedure Event

O224 - Sequence # 4560 | Currently on Dialysis and Intra and Post Procedure Event | New Requirement for Dialysis

Video Transcription

Video Summary

In this case scenario, a 72-year-old female with a history of coronary artery disease and chronic renal failure presents to the emergency department with chest discomfort, dyspnea, and swelling in her lower extremities. She is admitted to the telemetry floor and undergoes hemodialysis. The next day, she experiences increasing chest pain and undergoes a coronary angiogram, which reveals lesions in her LAD and circumflex arteries that are successfully treated with PCI. The patient is currently on dialysis, and this is coded as a yes for the PCI procedure. However, the requirement for dialysis as an intra and post-procedure event is not met, so it is coded as a no. The patient is not eligible for inclusion in metric 57, which assesses acute kidney injury risk, and an increase in post-procedure creatinine is not considered an observed AKI event due to the patient being on dialysis.

Keywords

sequence number 10116

cardiac rehabilitation referral

PCI

inpatient cardiac rehab nurse

referral order

72-year-old female

coronary artery disease

chronic renal failure

chest discomfort

dyspnea