Thank you for reviewing the AFib Ablation Registry Monthly Case Scenario for April 2022. This case scenario will be focused on hasp bled hypertension, sequence number 4055. Mr. Scott is admitted and taken to the pre-procedure area at 0700 in the morning for a planned AFib cryoablation procedure. While abstracting the procedure, a hasp bled assessment was not documented by the provider and the abstractor is using the patient's documented history to capture the patient's hasp bled. Mr. Scott's history includes hypertension, which is treated with beta blocker on a daily basis and the last dose was taken in the morning of the procedure at 0600, stroke, diabetes mellitus, which is treated with insulin daily and longstanding persistent AFib. Mr. Scott's pre-procedure blood pressure readings are 165 over 90 at 710 and 163 over 85 at 730. He is taken to the EP lab for the procedure at 0800. Based on the pre-procedure assessment and documented history, Howell's sequence number 4055 hasp bled hypertension be coded? Number one, no. Or number two, yes. Please review the documentation and question to determine the best answer. We'll allow you a few seconds to review. And the answer is number two, yes. Based on the hasp bled definition, hypertension uncontrolled is defined as systolic pressure greater than 160 millimeters of mercury despite medical therapy. It may also be documented or diagnosed as hypertension resistant to medical therapy. The target value for the sequence is any occurrence between 30 days prior to the procedure, meaning the documentation used to code this element, documented diagnosis or blood pressure readings must be within 30 days prior to the start of the procedure. Blood pressure readings after procedure start time, which is the time of the incision, vascular access or its equivalent cannot be used. In this case, we have two systolic pressure readings greater than 160 prior to the start of the procedure, despite Mr. Scott taking his beta blocker that morning, which meets criteria for yes to be coded. Additional information, this hasp bled element can be coded with these options. A provider documented hasp bled assessment with hypertension documented as a condition used to award the patient a point in the assessment. In this case, systolic pressures do not have to meet criteria. Provider documentation is sufficient to code yes. Documented history or diagnosis of uncontrolled hypertension or hypertension resistant to medical therapy within the target value. Or systolic pressures meeting criteria. Criteria being systolic pressure more than 160 millimeters of mercury, despite medical therapy within the target value. Thank you for reviewing the AFib Ablation Registry monthly case scenario for April of 2022.

AFib Ablation Registry

case scenario review

AFib cryoablation procedure

hasp bled hypertension

coding criteria