Chest Pain-MI v3.1 Education-Treatment Strategy Reperfusion

Video Transcription

Treatment strategy reperfusion is completed when patient type sequence 1, 2, 3, 6, 0 is STEMI, NSTEMI, or unstable angina.  Sequence 1, 5, 5, 0, 2 PCI seeks to capture when a percutaneous intervention was performed,  not performed, or not performed due to a documented medical or patient reason any time between first medical contact and discharge.  Sequence 1, 5, 5, 0, 2 PCI is coded yes, no, no reason, no medical reason, or no patient reason for PCI based on the documentation in the medical record meeting the definitions  outlined. No, no reason indicates the PCI was not performed and there is no documentation of a reason why it was not performed.  No medical reason indicates the PCI was not performed and there is clear documentation of a medical reason why it was not performed.  Or no patient reason indicates the PCI was not performed and there is clear documentation of a patient's medical issue or concern why it was not performed.  Sequence 1, 5, 5, 0, 1 coronary artery bypass graph seeks to capture when a CABG was performed,  not performed, or not performed due to a documented medical or patient reason any time between first medical contact and discharge.  Sequence 1, 5, 5, 0, 1 CABG is coded as yes, no, no reason, no medical reason, or no patient reason for CABG based on the documentation in the medical record meeting the definitions  outlined. No, no reason indicates the CABG was not performed and there is no documentation of a reason why it was not performed.  No medical reason indicates the CABG was not performed and there is clear documentation of a medical reason why it was not performed.  And no patient reason indicates the CABG was not performed and there is clear documentation of a patient's medical issue or concern why it was not performed.

Video Summary

The video discusses the treatment strategy of reperfusion for patients with specific cardiac conditions. It explains the coding system for documenting whether a percutaneous intervention (PCI) or coronary artery bypass graft (CABG) procedure was performed, not performed, or not performed due to medical or patient reasons. The sequence 1, 2, 3, 6, 0 refers to STEMI, NSTEMI, or unstable angina, while sequence 1, 5, 5, 0, 2 represents PCI, and sequence 1, 5, 5, 0, 1 represents CABG. The coding includes categories like "yes," "no," "no reason," "no medical reason," or "no patient reason" based on the documentation in the medical record. The video highlights the importance of clear documentation in these cases. No credits were mentioned.

Keywords

reperfusion treatment strategy

cardiac conditions

percutaneous intervention

coronary artery bypass graft

coding system