CPCI-0620 - Sequence # 9146 | Significant Coronary Artery Dissection-0620 - Sequence # 9146

0620 - Sequence # 9146 | Significant Coronary Artery Dissection

Video Transcription

Video Summary

In this video, the case scenario is about a 60-year-old female who presents to the ED with severe chest pain. An ECG shows an acute infarct, and she is taken to the cath lab. The diagnostic cath reveals a significant spiral dissection of the OM1, which is likely due to a spontaneous coronary artery dissection. A stent is placed to treat the dissection. The video then asks whether sequence 9146, significant coronary artery dissection, should be coded. The answer is no because spontaneous dissections or those discovered during the cath are not captured for this sequence. The video concludes by mentioning that when a dissection is treated with a stent or balloon but does not meet the definition of significant, that information should be entered in the lesions and devices section. The most severe obstruction caused by the dissection should be assigned a percentage for sequence 8004, stenosis immediately prior to treatment.

Keywords

chest pain

ECG

acute infarct

spiral dissection

spontaneous coronary artery dissection