0122 - Sequence # 4410 & 4420 | Attempt at Atrial Fibrillation Termination/DC Cardioversion-0122 - Sequence # 4410 & 4420 | Attempt at Atrial Fibrillation Termination/DC Cardioversion

Video Transcription

Thank you for reviewing the AFib Ablation Registry Monthly Case Scenario for January 2022.  The case scenario will be focused on the capture of attempt at atrial fibrillation termination, sequence 4410 and 4420.  Our patient, Mrs. Walker, was admitted for a catheter-based AFib ablation, for which the plan strategy was cryoablation.  Her past medical history includes long-standing persistent AFib, an ICD implant, CHF with LV dysfunction and an EF of 35%, hypertension, and electrophysiologist documentation of ICD  delivering shocks for AFib and at times successfully terminating the rhythm.  When capturing Mrs. Walker's rhythm history, will the documented ICD shocks be captured as attempts to terminate AFib in sequence 4410? Number one, no, or number two, yes.  Please review the documentation and questions to determine the best answer. We will give you a few seconds to review.  And the answer is number two, yes. Even if the ICD shock for an AFib rhythm is documented as an inappropriate shock, a direct  current shock was administered to the patient to attempt to terminate the AFib rhythm. Therefore, we would capture the ICD shocks as an attempt to terminate AFib in sequence  4410 and code as direct current cardioversion in sequence 4420.  Thank you for reviewing the AFib Ablation Registry Monthly Case Scenario for January 2022.

Video Summary

In the video transcript, the case scenario for January 2022 from the AFib Ablation Registry is discussed. The focus is on the capture of attempts to terminate atrial fibrillation (AFib) in sequences 4410 and 4420. The patient, Mrs. Walker, was admitted for a catheter-based AFib ablation using cryoablation. She has a history of long-standing persistent AFib, an implantable cardioverter-defibrillator (ICD), congestive heart failure (CHF), hypertension, and documented ICD shocks for AFib. The question is whether the documented ICD shocks should be considered attempts to terminate AFib in sequence 4410. The correct answer is yes, even if the ICD shocks were deemed inappropriate, as they were administered to try and terminate the AFib rhythm. This would be coded as direct current cardioversion in sequence 4420.

Keywords

AFib Ablation Registry

atrial fibrillation

AFib termination attempts

cryoablation

ICD shocks