IMPACT-1021 - Sequence # 8055 | Device Embolization-1021 - Sequence # 8055

Video Transcription

Welcome to the IMPACT Registry October 2021 monthly case scenario, sequence 8055, device embolization.  A 14-year-old male presents for PDA closure secondary to history of pulmonary hypertension, left and right atrial enlargement and worsening symptoms.  The aortogram confirms device position and 24 hours post-PDA closure, the echocardiogram shows no residual shunting and no obstruction.  Discharge orders are written with a plan for the patient to follow up in one month. Later that evening, the patient presents to the emergency department after experiencing  increasing shortness of breath, difficulty breathing, and chest pressure. A STAT echocardiogram is performed and the patient is diagnosed with device embolization  and obstruction and is taken emergently to the cath lab for device retrieval.  Our question is, how is sequence number 8055 device embolization requiring device retrieval coded? Number one, no, or number two, yes.  Please take a moment to review the documentation and question before deciding on your answer.  And the answer is number one, no. In the given scenario, the target value of any occurrence between start of procedure  and 72 hours post-procedure or next procedure or discharge is not met. The patient is discharged from the facility and the device retrieval occurs during a different  separate episode of care. Thank you for viewing the IMPACT Registry Monthly Case Scenario for October of 2021, sequence number 8055 device embolization.

Video Summary

In this video, the monthly case scenario of the IMPACT Registry for October 2021 is discussed. The case involves a 14-year-old male who presents for closure of a patent ductus arteriosus (PDA) due to underlying conditions. The procedure is successful with no residual shunting or obstruction observed on the echocardiogram. However, later that evening, the patient experiences increasing shortness of breath, difficulty breathing, and chest pressure. An echocardiogram confirms device embolization and obstruction, requiring the patient to be taken to the cath lab for device retrieval. The question posed is how to code this scenario, and the answer is that it should be coded as "no" because the device retrieval occurs during a separate episode of care, after the patient's discharge from the facility. No credits are mentioned in the video.

Keywords

IMPACT Registry

monthly case scenario

October 2021

patent ductus arteriosus

device retrieval