AFIB-0420 - Sequence # 4045 | CHA2DS2-VASc Vascular Disease-0420 - Sequence # 4045

Video Transcription

Video Summary

This video discussed the coding process for the Chad's Vasc vascular disease in the AFib Ablation Registry. During the pre-procedure H&P, the clinician performed a Chad's Vasc assessment and calculated a total score of 4, considering hypertension, ischemic origin stroke, and CHF. The question posed was whether Chad's Vasc vascular disease should be coded, with the answer being no. The coding for Chad's Vasc vascular disease includes conditions like CAD, PCI, CABG, carotid disease, carotid stent, and carotid endarterectomy. However, these conditions can only be used if the clinician documented them as part of the Chad's Vasc score calculation. The decision to include these conditions was made after considering real-world clinical practices. Sequence 4050, Vascular Disease Type, is left blank if the patient doesn't have a history of prior MI, PAD, or known aortic plaque, and Sequence 4045 was coded based on other conditions. The threshold for this sequence has been lowered, and leaving it blank won't affect the DQR submission. This information was presented in the AFib Ablation Registry Monthly Case Scenario for April 2020.

Keywords

coding process

Chad's Vasc vascular disease

AFib Ablation Registry

Chad's Vasc assessment

total score