IMPACT-0825 - Sequence #8160 (Unplanned Cardiac Surgery)-IMPACT-0825 - Sequence #8160 (Unplanned Cardiac Surgery)

IMPACT-0825 - Sequence #8160 (Unplanned Cardiac Surgery)

Video Transcription

Video Summary

In the August 2025 IMPACT Registry case, a one-year-old male with recurrent respiratory infections and a 6mm PDA underwent an unsuccessful attempt at catheter-based PDA closure. The procedure was abandoned, and surgical ligation was performed the next day. The key question was whether to code this as Sequence 8160, Unplanned Cardiac Surgery. The correct coding is "no" because, despite the unsuccessful catheter procedure, no complication or adverse outcome occurred. Thus, the surgical ligation is not considered unplanned cardiac surgery in this context.

Keywords

TPVR procedure

chronic kidney disease

acute renal failure

prophylactic dialysis

Impact Registry

PDA closure

catheter-based procedure

surgical ligation

unplanned cardiac surgery coding