the coding of sequence 12903 and 15510 condition history and occurrence. Specifically, with emphasis on sequence 15723, symptoms experienced during AFib-A-Flutter for the AFib ablation registry version 2.0. Our documentation is as follows. Mrs. Sharma presents for an elective ablation procedure. Her medical history is significant for chronic renal insufficiency, non-ischemic cardiomyopathy, type 2 diabetes, and persistent AFib. It is noted that she underwent an unsuccessful AFib ablation nine months prior. A note from her doctor's office from two weeks ago states that the patient continues to have recurrent symptomatic episodes of atrial fibrillation. There is no additional documentation in the current medical record of what specific symptoms the patient has experienced. However, EMR documentation from the prior episode of care nine months earlier includes AFib symptoms of dyspnea on exertion. Our first question, based on the documentation provided, how will the condition history selection symptoms during AFib-A-Flutter be coded? Number one, no. Or number two, yes. Please take a moment to review the documentation and question before making your final answer. The answer is number two, yes. The provider documentation of symptomatic episodes of AFib from Mrs. Sharma's office visit two weeks prior supports the condition history coding instructions and meets the occurrence target value of any occurrence between birth and arrival at this facility. Because yes is coded in sequence 15.510 for symptoms during AFib-A-Flutter, child field symptoms experienced in sequence 15.723 is available for selection. That leads us to our follow-up question. Based on the documentation provided, how is the child field sequence 15.723 symptoms experienced coded? Number one, leave blank. Number two, code all the symptoms on the list. Number three, code dyspnea on exertion. Or number four, code other. Please take a moment to review the documentation and question before making a final answer. The answer is number four, code other. The rationale being, while the target value of the parent field condition history occurrence is any occurrence between birth and arrival at this facility, the child field symptoms experience carries a target value between 90 days prior to the start of the current procedure. There is documentation to support that Mrs. Sharma is symptomatic between birth and arrival supporting yes to be coded to symptoms during AFib-A-Flutter. Because the documentation of dyspnea on exertion is greater than 90 days, however, it does not meet the target value in sequence 15.723 and is therefore not captured here. The documentation of symptomatic episodes of AFib that does meet the target value supports coding other in sequence 15.723 when there is no additional clarifying documentation to support coding one or more of the specific symptoms on the list. The intent is to learn of the patient's recent symptoms that are contributing to the need for their procedure. We would like to just also note that the AFect patient questionnaire response data incorporated into a patient's medical record also supports capture of symptoms experience, and we encourage utilizing this valuable tool. The target value is consistent with sequence 15.723 symptoms experienced, the last value between 90 days prior to the start of the current procedure and the start of the procedure. The optional AFect patient questionnaire is a useful instrument for obtaining greater understanding and insights into patient symptoms, as well as the impact on their physical and functional status. Thank you for taking the time to review our latest case scenario.

pulmonary vein isolation

paroxysmal atrial fibrillation

wide area circumferential ablation

radiofrequency ablation

pulse field ablation

atrial fibrillation

symptom documentation

AFect questionnaire

dyspnea on exertion

medical coding