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CPCI-1025-Sequence #8022 (Bifurcation Lesion)
CPCI-1025- Sequence #8022 (Bifurcation Lesion)
CPCI-1025- Sequence #8022 (Bifurcation Lesion)
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Video Transcription
Video Summary
This October 2025 PCI registry case review discusses sequence 8022 for bifurcation lesions in a 63-year-old male. The patient underwent balloon angioplasty and stenting for mid-circumflex (70% stenosis) and OM2 (60% stenosis). Despite treatment of two vessels, it does not meet the bifurcation lesion definition, which requires intervention at a branch point involving two diverging vessels. Bifurcation coding depends on the lesion's anatomy, not physician documentation. Examples clarify when to code "yes" or "no" based on whether the treated lesion straddles a bifurcation branch. In this case, the correct coding is "no" for sequence 8022.
Keywords
TAVR
aortic stenosis
left main coronary artery obstruction
emergency PCI
Cath PCI Registry
PCI registry
bifurcation lesions
balloon angioplasty
stenting
sequence 8022
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