Thank you for reviewing the LAAO Registry Monthly Case Scenario for January 2021. We will be discussing Sequence 4060, Has Bled Abnormal Renal Function. Our patient, Mr. Lecter, was admitted for an LAAO procedure and has a documented past medical history, which includes persistent atrial fibrillation, stage 3 chronic kidney disease, ischemic stroke, uncontrolled hypertension, GI bleed episode while on Warfarin, which required admission and blood transfusion, and his medication daily regimen includes aspirin 81 mg as well as Xarelto. Mr. Lecter's provider did not document a has bled assessment, therefore the abstractor will use the documented patient history to code the assessment. When capturing the patient's has bled risk score based on the documentation provided and the patient's documented history, how will abnormal renal function be coded? Will it be coded as yes or no? Please review the documentation and question to determine the best answer. We will give you a few seconds to review. The answer is number one, yes. For the purpose of the LAAO registry, code yes if the patient has been diagnosed with abnormal renal function. The documentation being used to code this element must be between 30 days to the procedure. Documentation that can be used to code this element are new diagnosis or history of chronic kidney disease or any chronic kidney condition, recipient of at least one kidney transplant, chronic dialysis in the past or a dialysis treatment in the week prior to admission, or if there is no documentation of a chronic condition as listed above, a serum creatinine of 2.6 milligrams per deciliter or higher can be used to code yes. Based on Mr. Lecter's documented history, his has bled risk score will be coded as yes to hypertension, yes to abnormal renal function, yes to stroke and ischemic stroke, yes to bleeding as the bleeding episode met criteria by requiring a blood transfusion, and yes to antiplatelet as the patient takes aspirin 81 milligrams as part of his daily regimen. Thank you for viewing the LAAO registry's case scenario for January 2021.

LAAO Registry

Mr. Lecter

persistent atrial fibrillation

chronic kidney disease

ischemic stroke