CV ASC Registry Education-Seq#8028 (Intracoronary Device(s) Used)

Video Transcription

Sequence 8028, intracoronary devices used, is indicating all devices utilized, inflated, deployed, placed, or otherwise used for the purpose of mechanical revascularization  during the current procedure. If a single device was utilized on multiple lesions, specify it only once, such as the balloon was used to dilate two separate lesions.  You're only going to list it once. Every treatment and support device utilized during the procedure should be specified. Each intracoronary device entered must be associated  with at least one lesion. In the PCI section, you can also capture and track IVUS and OCT usage  during a PCI procedure. And this was an update. And why are we doing this? Because IVUS and OCT  are utilized during PCI as best practice because it provides detailed cross-sectional images,  lumen dimensions, lesion length, plaque morphology and location, evidence of thrombus dissection,  etc., and confirmation of stent apposition and expansion. As well, there is a heightened interest in tracking and benchmarking usage of these. Here, we will talk about lesions and  devices section, the coding guidance when an OCT or IVUS is used during a PCI procedure.  You will follow the data dictionary coding instructions and target values for guidewire  across lesion and devices deployed. If a guidewire has crossed the lesion and a mechanical revasc device was utilized, then any and all of IVUS and OCT within the lesion segments  warrants identifying the applicable device in sequence 8027 and 8028 intracoronary devices used.  What this can mean is that you may be coding IVUS usage in both the coronary anatomy section and the lesions and devices section if this criteria is met.  As a coding example to demonstrate this coding advice, let s say we have a patient who had PCI to their proximal LAD. IVUS was utilized to confirm the optimal stent size.  Then, a Zions drug eluting stent was deployed. Zions was added to the device list. And in this scenario, IVUS will also be added to the device list.

Video Summary

In this video transcript, the speaker discusses the importance of documenting the use of intracoronary devices during a PCI procedure. This includes specifying all devices used for revascularization, tracking IVUS and OCT usage for detailed imaging, lesion characteristics, and confirming stent placement. Proper coding guidance is given for including IVUS or OCT usage in the device list, emphasizing accuracy in coding IVUS in both the coronary anatomy and lesion sections if criteria are met. A coding example illustrates how IVUS is documented when confirming stent size and deployment during a PCI procedure. This ensures thorough documentation of devices used for mechanical revascularization.

Keywords

intracoronary devices

PCI procedure

IVUS

OCT

coding guidance