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The Society of Thoracic Surgeons Frequently Asked Questions: Adult
Cardiac Surgery Database Version 2.52.1 August, 2006 How to use the interactive FAQ Document: 1. To
review all clinical questions in an individual section, click on the section
title below. |
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Section M:
seq# 2360-2560 |
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2.
To review an individual Seq# clinical question, click on the Seq# title
below. 1280 OpCAB
3090-3180 Section R. 3. CC/TM: Corrections/Clarifications to Training
Manual |
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Date |
SeqNo |
FieldName |
Definition |
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2360 |
Other Card-LVA |
Indicate whether the patient had a Left
Ventricular Aneurysm Repair either in conjunction with or as the primary
surgical procedure. |
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2370 |
Other Card-VSD |
Indicate whether the patient had a
Ventricular Septal Defect Repair either in conjunction with or as the primary
surgical procedure. |
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2380 |
Other Card-ASD |
Indicate whether the patient had an
Atrial Septal Defect Repair either in conjunction with or as the primary
surgical procedure. |
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2390 |
Other Card-Batista |
Indicate whether the patient had a Left
Ventricular Reduction Myoplasty either in conjunction with or as the primary
surgical procedure. Left Ventricular Reduction Myoplasty is a procedure
whereby left ventricular myocardium is excised to reduce left ventricular
volume in patients with a dilated cardiomyopathy, with or without mitral
valve replacement or repair. If a concomitant valve procedure is performed,
please check that category also. |
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2400 |
Other Card-Surgical Ventricular Restoration |
Indicate whether the patient had a
Surgical Ventricular Restoration either in conjunction with or as the primary
surgical procedure. Surgical
Ventricular Restoration are procedures that restore the geometry of the heart
after an anterior MI. They include the
Dor procedure or the SAVER procedure.
This SVR procedure is distinct from an anterior left ventricular
aneurysmectomy (LVA) and from a Batista procedure (left ventricular volume
reduction procedure). |
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2410 |
Other Card-Congenital |
Indicate whether the patient had a
congenital defect repair either in conjunction with or as the primary
surgical procedure. |
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From version 2.41 |
8/03 |
Would
repair of a foramen ovale fall under Other Cardiac Procedures Other? |
No,
code a foramen ovale repair under Other Cardiac Procedures Congenital
Defect Repair. |
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2420 |
Other Card-Transmyocardial |
Indicate whether the patient underwent
the creation of multiple channels in left ventricular
myocardium with a laser fiber either in conjunction with or as the primary
surgical procedure. |
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2430 |
Other Card-Cardiac Trauma |
Indicate whether the patient had a
surgical procedure for an injury due to Cardiac Trauma either in conjunction
with or as the primary surgical procedure. |
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9/04 |
Patient admitted as a MVA trauma with a transection of the descending
aorta. Should the procedure to correct
the transaction be coded under aortic aneurysm, seq# 2510, or cardiac trauma,
seq# 2430? |
The procedure needs to be coded as a cardiac trauma. The trauma caused the transaction. If the transaction was caused by
pathological reasons, you would code under aortic aneurysm. |
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2440 |
Other Card-Card Tx |
Indicate whether the patient had a
Heterotropic or Orthotropic heart transplantation either in conjunction with
or as the primary surgical procedure. |
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2450 |
Other Card-Arrhythmia Correction Surgery |
Indicate if one of the following
arrhythmia correction devices was surgically placed either in conjunction with or as the primary
surgical procedure: -None -Permanent Pacemaker: an internal
electronic generator that controls the heart rate. -Permanent Pacemaker with Cardiac
Resynchronization Therapy (CRT): an internal permanent pacemaker that uses
biventricular electrical stimulation to synchronize ventricular
contraction. -Automatic
Implanted Cardioverter Defibrillator (AICD): an internal device that defibrillates
the heart. -AICD
with CRT: an internal AICD that uses biventricular electrical stimulation to
synchronize ventricular contraction. |
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01/06 |
The surgeon placed epicardial leads
for an ICD and CRT but no device during surgery. The device was placed later
in the cath lab. How do I code this? |
Because no device was implanted, it
would be coded as a Other Cardiac Other |
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2460 |
Other Card-Arrhythmia Correction Surgery-Lead Placement |
Indicate which lead placement was used
for the permanent pacemaker with CRT or AICD with CRT: Epicardial:
the outer most layer of the heart. Endocardial:
the inner most layer of the heart. |
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6/04 |
We just attended an inservice on the biventricular pacemakers and
AICDs. We were informed that biventricular lead placement for AICD or
Permanent Pacemaker with CRT (cardiac resynchronization therapy) could be
epicardial in one ventricle, and endocardial in the other ventricle. In this case we would need to code an
answer that allows us to choose both 1-epicardial and 2-endocardial. Per the data specifications, it does not
look like we are allowed to choose both.
Please clarify. |
Most CRT BiV devices are implanted endocardially, with one lead in the
endocardial RV and the second lead endocardially in the coronary sinus
(" If the If in a particular case, both epicardial and endocardial leads are
placed, please code seq# 2460 as epicardial. The option of choosing both will be
considered in the next specification upgrade. |
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2470 |
Other Card-Atrial Fibrillation Correction Surgery |
Indicate if one of the following atrial
fibrillation correction surgeries was performed either in conjunction with or
as the primary surgical procedure. The
intent of both surgeries is to preclude the atria from fibrillating by
disrupting the abnormal reentry pathways of electronic signals that lead to
atrial fibrillation. Standard
Surgical Maze Procedure: Surgical
procedure in which full thickness incisions
are made in the atria of the heart.
Sutures are then used to reapproximate the incised tissue. The resulting lesion disrupts the abnormal
reentry pathways of electronic signals that lead to atrial fibrillation. Other
Surgical Ablative Procedure: Surgical
procedure in which lesions are created in the atria of the heart by an energy source. The lesion disrupts the abnormal reentry
pathways of electronic signals that lead to atrial fibrillation. Combination of Standard Surgical Maze Procedure and Other Surgical
Ablative Procedure. |
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1/06 |
I am needing some
verification. When a patient has a CAB
procedure along with a MAZE procedure we are documenting this as a CAB +
other. Is this correct? |
Yes. A CAB+MAZE would be coded as:
Seq# 1280 OpCAB = Yes; Seq# 1310 OpOCard = Yes; Seq# 2470 OcarAFib =
Appropriate Choice; Seq# 2480 OCarAFES = Appropriate Choice |
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NEW! |
Other Card - Other |
Amputation of the left atrial
appendage is not an additional procedure. This would be an Isolated CABG |
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2480 |
Other Card-Atrial Fibrillation Correction Surgery-Energy Source |
Indicate which energy source was used
to create the lesions in the atria of the heart. |
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2510 |
Other Card-Ao Aneur |
Indicate whether the patient underwent
an Aortic Aneurysm repair either in conjunction with or as the primary
surgical procedure. This includes
dissections, non-dissections and ruptures of the Aorta. |
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CC/TM |
1/05 |
The Data Field Intent/Clarification section of the
Training Manual, for seq# 2510, Other
Card-Ao Aneur, should read: Aneurysm
may refer to the pathologic or traumatic dissection, non-dissection and
ruptures of the aorta. |
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2520 |
Other Card-Asc |
Indicate if the patient underwent
repair of ascending aortic aneurysm either in conjunction with or as the
primary surgical procedure. Aneurysm
refers to pathologic dilatation of the aorta. The ascending aorta begins at the aortic annulus and ends
at the origin of the innominate artery where the aorta continues as the
transverse arch. |
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2530 |
Other Card-Arch |
Indicate if the patient underwent
repair of aneurysm in the arch of the aorta either in conjunction with or as
the primary surgical procedure. The
arch begins at the origin of the innominate artery and ends beneath the left
subclavian artery. It is the portion of the aorta at the top of the heart
that gives off three important blood vessels; the innominate artery, the left
carotid artery and the left subclavian artery. |
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2540 |
Other Card-Desc |
Indicate if the patient underwent
repair of a descending aortic aneurysm either in conjunction with or as the
primary surgical procedure. The descending aorta is the portion of the aorta
between the arch and the abdomen. |
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2550 |
Other Card-Thoracoabdominal Aneurysm |
Indicate if the patient underwent
repair of a thoracoabdominal aneurysm either in conjunction with or as the
primary surgical procedure. Thoracoabdominal aneurysms can involve the entire
thoracoabdominal aorta from the origin of the left subclavian artery to the
aortic bifurcation or can involve only one or more segments of the abdominal
aorta. |
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2560 |
Other Card-Other |
Indicate whether the patient had another cardiac procedure performed
either in conjunction with or as the primary surgical procedure that is not
included within this section. |
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9/04 |
Following is a guideline
for assessing which procedures to capture under seq# 2560, Other Card-Other: Those procedures that have a high likelihood of negatively impacting a
patient's outcome (survival, quality of life, ability to recover) and/or
prolong the patient's length of stay. |
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12/04 |
Due to the impossibility of publishing a complete list of procedures
to include and not to include in this field, the |
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NEW! |
Cardiac other |
Isolated CAB |
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