Sequence 15607, Procedure Type, is indicating all procedures that were performed between start of procedure and end of procedure. The ASC registry was initially built to handle one pathway per episode of care. Thus, while this is a select-all field, the only selections that can be selected together during one lab visit are Diagnostic Coronary Angiography and Percutaneous Coronary Intervention. All others are mutually exclusive of one another. When the passage of a catheter into the aortic root or other great vessels for the purpose of angiography of the native coronary arteries or bypass grafts supplying native coronary arteries occurs during the lab visit, diagnostic coronary angiography is the appropriate selection. When there is placement of an angioplasty guide wire, balloon, or other device such as a stent, atherectomy, brachytherapy, or thrombectomy catheter into a native coronary artery or coronary artery bypass graft for the purpose of mechanical coronary revascularization during the lab visit, percutaneous coronary intervention is the appropriate selection. To go back and emphasize, as soon as an angioplasty guide wire is inserted into the body, PCI performed or attempted is the appropriate selection. When the patient already has a device and is receiving a generator that is an upgrade or a change from one that was previously implanted, generator change is the appropriate selection. To provide some context to the definition, we have provided some procedural examples. When the patient already has a non-novel permanent pacemaker and is undergoing implantation of a novel pacemaker, which includes a CRTP, a leafless pacemaker, or a HIS left bundle pacemaker, then generator change would be selected. When the patient already has an ICD-CRTD and is undergoing implantation of another ICD-CRTD, then generator change would be selective. When the patient already has a novel permanent pacemaker and is undergoing implantation of another novel permanent pacemaker, which include CRTP, leafless pacemaker, or HIS left bundle pacemaker, then generator change would be selected. To review inclusion criteria, the ASC Registry is currently accepting data for novel pacemaker procedures. Novel pacemakers include the CRTP, the leafless pacemaker, or the HIS left bundle pacemaker. When the patient already has a device and is having the generator removed without re-implant of another generator during the current procedure, generator explant is the appropriate selection. To provide some context to the definition, we have provided some procedural examples. When the patient has a novel permanent pacemaker, which includes the CRTP, the leafless pacemaker, or the HIS left bundle pacemaker, and is undergoing implantation of a non-novel pacemaker, then generator explant would be selected. When the patient has an ICD-CRTD and is undergoing implantation of a non-novel permanent pacemaker, then generator explant would be selected. When the patient has a novel permanent pacemaker, ICD, or CRTD, and is undergoing explantation with no re-implantation of a device, generator explant would be selected. When the patient is receiving a permanent pacemaker or ICD-CRTD device for the first time during the current procedure, initial generator implant is the appropriate selection. To provide some context to the definition, we have provided some procedural examples. When the patient is undergoing implantation of their first novel permanent pacemaker, which includes the CRTP, the leafless pacemaker, or the HIS left bundle pacemaker, initial generator implant would be selected. When the patient is undergoing implantation of their first ICD-CRTD, then initial generator implant would be selected. When the patient has an ICD or CRTD and is undergoing implantation of a novel permanent pacemaker, then initial generator implant would be selected. When the patient has any prior permanent pacemaker and is undergoing implantation of their first ICD-CRTD, initial generator implant would be selected.

ASC Registry

Diagnostic Coronary Angiography

Percutaneous Coronary Intervention

Generator Change

Generator Explant