Hello, and welcome to our case scenario for the AFib Ablation Registry for the month of February 2024. This month, we will be discussing the coding of sequence number 4040, Chad's VASC, thromboembolic vent. In this scenario, our patient, Mr. Jones, is admitted for an ablation procedure. Mr. Jones has a documented history that includes paroxysmal AFib, hypertension, CHF, and a prior MI with a PCI. There's also a past history of DVT. The provider did not document their own Chad's VASC assessment of Mr. Jones. Here's our question. Based on the documented history of DVT, how will sequence number 4040, Chad's VASC, thromboembolic event, be coded? Number one, no. Number two, yes. Please take a moment to review the documentation in question before making your final answer. The answer is no. Based on the sequence definition and coding instructions, a thromboembolic event is defined as either an ischemic stroke, peripheral embolism, which is a thromboembolic event outside the brain, heart, eyes, and lungs, or pulmonary embolism. Thromboembolic event is a thrombus that originates somewhere and travels obstructing another vessel. Examples of this are ischemic stroke, peripheral embolism, or pulmonary embolism. DVT is not a thromboembolic event, meaning that it does not originate somewhere else and travel or flow toward the deep veins. Therefore, please do not include DVT when coding sequence number 4040, thromboembolic event. A stationary thrombus will not be included in the coding of the risk score. This Chad's VASC element can be coded with these options. A provider documented Chad's VASC assessment of the patient and thromboembolic event was included as a condition. If the provider did not document a Chad's VASC assessment of the patient, as in this case scenario, the element will be coded based on documented history. This element can be coded with documented history of ischemic stroke, a pulmonary embolism, or a peripheral embolism. Remember, this element captures events in which a thrombus that originates somewhere else travels and obstructs another vessel. We thank you for taking the time to review our latest case scenario.

coding

transeptal catheterization

sequence number 7175

ablation procedure

double-wired

sequence number 4040

Chad's VASC

thromboembolic event

risk score