The April case scenario for the LAAO registry will review sequence numbers 9985 and 9990, intra- and post-procedure events occurred. These sequence numbers were updated to sequence 12153 and 9002 to reflect the upgrade to version 1.4. The patient is an 80-year-old female who was admitted for an LAA occlusion procedure. The clinician successfully implants a 24-millimeter Watchman. Two days after the LAAO procedure, the patient developed chest pain and was taken to the cath lab for a PCI to the LAD. On day three, she developed a fever and was diagnosed with pneumonia. Our question is, will pneumonia be coded as a post-procedure event in sequence number 9990, number one, no, or number two, yes? Please take a few moments to review the documentation and question. The answer is number two, yes. Based on the target value, please code events that occur from one LAAO procedure to the next LAAO procedure and discharge. Please note, if there is specific documentation by the clinician ascribing the event to another procedure, such as the PCI procedure, it would not be coded. The abstractor coded the 24-millimeter Watchman closure device as deployed, released. Procedure aborted, sequence number 7295, was coded no. Event occurred sequence 9990 was coded as pneumonia. The PCI was not coded as an event. However, it was coded under sequence 1001 in the discharge section. Our question is, based on the documentation and coding, which metric will display this patient in the numerator? Number one, metric number six, number two, metric number 16, or number three, both metrics? Please take a few moments to review the documentation and question before determining the best response. Metric number 16 is an informational data metric and is located by selecting the informational data tab on the dashboard. The numerator and denominator, comprised of select data elements, are based on a programmed algorithm, which captures the information coded by the facility. Metric 16's denominator will consist of all patients, as represented in the metric title, with unpublished quarters refreshed weekly. This information is only for facilities to review internally and will not be part of the executive summary metrics. To view on the dashboard, visit the landing page and select the desired ending timeframe. Then select informational data. Then click on the hyperlink for metric 16. This will take you to the patient drill down. Here, you can review your data. Metric six was not the correct answer because the patient must have one of the major events listed. As you can see, the numerator for metric six does not include pneumonia. One additional numerator criteria is the procedure must be coded as aborted with one of these six events listed in sequence number 7296. In our scenario, the procedure was not aborted as the device was successfully deployed and released. All metric information regarding the rationale, numerator, and denominator are available in outcome report companion guide document for the in-hospital metrics, which are one through nine. To locate this document, select resources and then documents. Scroll down to user guide documents and download the outcome report companion guide. There is not a companion guide for the informational metrics at this time. Thank you for viewing the April case scenario regarding the coding of sequence number 9990, event occurred. Thank you.

LAAO registry

case scenario

Watchman device

PCI procedure

pneumonia