CV ASC Registry Education-Seq#9255 (Set Screw Problem)

Video Transcription

Sequence 9255, set screw problem, is indicating if the patient had a pacing or sensing problem  associated with high impedance due to a poor connection between a lead and device caused by a loose set screw between completion of the EPDI procedure as coded in sequence 7005,  procedure ending time, and until next procedure or discharge. And while this data element is shared with our hospital registries where multiple procedures  may occur during one episode of care, the ASC registry was initially built to handle one pathway per episode of care.  Thus, the target value for an ASC is better understood if written any occurrence between completion of the procedure or discharge.

Video Summary

In sequence 9255, a set screw issue can lead to pacing or sensing problems due to high impedance from a loose connection between a lead and device after an EPDI procedure (sequence 7005) until the next procedure or discharge. This issue is shared with hospital registries, but the ASC registry was designed for a single pathway per episode of care. Therefore, in ASC settings, the target value should reflect any occurrences between procedure completion and discharge to better understand patient outcomes.

Keywords

set screw issue

pacing problems

sensing problems

high impedance

epidural procedure