CPCI-0422 - Sequence # 8021 | (Severe Calcification)-0422 - Sequence # 8021

Video Transcription

Welcome to the CAP PCI Registry Case Scenario for April 2022, where we will review sequence number 8021, Severe Calcification.  A 71-year-old male with an extensive health history for hypertension, hyperlipidemia, diabetes mellitus, former smoker with prior PCI to the mid-circumflex, presents to the  emergency department after experiencing chest discomfort during stress testing with ST depression and imaging showing a questionable area of ischemia.  The patient is taken to the cath lab and an angiogram shows a densely fibrotic calcified proximal LAD, which was about 70 to 80% stenosed, that is treated with orbital atherectomy.  How is sequence number 8021 Severe Calcification coded? Number one, no, or number two, yes.  Please take a few moments to review the documentation before making your final selection.  And the answer is number one, no. The definition of severe calcification is not met. The notes section of the data element clarifies to support coding, there must be documentation  of severe calcification specific to the lesion treated during the PCI procedure by the interventionalist.  Additional information, the following words are synonymous with severe, extreme, heavy,  and critical, and if present, support coding yes to sequence number 8021 Severe Calcification.  In the absence of this specific documentation, please clarify with the interventionalists. Any clarification must be documented to support coding.  If a clarification is not received or documented, please code no. Thank you for viewing the CATH PCI Registry Monthly Case Scenario for April of 2022,  where we discussed sequence number 8021 Severe Calcification.

Video Summary

In this video, the CAP PCI Registry Case Scenario for April 2022 is discussed. It focuses on sequence number 8021, Severe Calcification. The case involves a 71-year-old male with a history of hypertension, hyperlipidemia, diabetes mellitus, and a previous PCI. He presents to the emergency department with chest discomfort during stress testing. An angiogram reveals a densely fibrotic calcified proximal LAD that is about 70 to 80% stenosed. The lesion is treated with orbital atherectomy. The video explains that for coding sequence number 8021 Severe Calcification, there must be specific documentation of severe calcification associated with the treated lesion. Synonymous terms such as extreme, heavy, or critical can support coding yes, but if there is no specific documentation, clarification should be sought from the interventionalist.

Keywords

CAP PCI Registry Case Scenario

April 2022

sequence number 8021

Severe Calcification

orbital atherectomy