0521 - Sequence # 13165 | Follow-Up Events: Systemic Thromboembolism-0521 - Sequence # 13165 | Follow-Up Events: Systemic Thromboembolism

Video Transcription

The LAAO case scenario for May of 2021 focuses on sequence 13165, 45-day follow-up event systemic thromboembolism.  This data element number has been updated to sequence 14948 to reflect the new updated version 1.4.  A 75-year-old female with a history of TIA and hypertension had a successful LAAO procedure.  Two months post-procedure, the patient presented to the emergency department with a two-day  history of left calf tenderness while walking, redness in warm area at mid-calf, and shortness of breath. The PAO2 on room air was 92%.  An ultrasound of the lower extremities showed a DVT and a CTA showed a pulmonary embolus and a heparin drip was started.  The patient was admitted and the heparin drip continued for 36 hours with resolution of symptoms.  Our question is, would the DVT and pulmonary embolism be coded as a follow-up systemic thromboembolism event? Number one, no. Or number two, yes.  Please take a few moments to review the documentation in question to determine the best answer. And the answer is no.  For the purpose of the registry, a deep vein thrombosis and or pulmonary embolus are not coded as a systemic thromboembolism.  The upgraded version 1.3 added deep vein thrombosis and pulmonary embolism as follow-up events and can only be coded in patients with the procedure date on or after January 1st of  2020. If a patient has a DVT or PE event with a procedure date prior to January 1st of 2020,  the event will be coded only as a non-device related readmission event if the patient was admitted for treatment. Some additional information.  Based on the documentation provided, in this scenario, the follow-up events that would be captured are, number one, deep vein thrombosis would be captured based on the diagnosis of  DVT with ultrasound confirmation. And two, a non-device related readmission would be captured based on the readmission that was unrelated to the LAA device.  And lastly, pulmonary embolism would be captured for the PE diagnosed by CTA. Thank you for viewing the May 2021 case scenario.

Video Summary

In this video, the LAAO case scenario for May 2021 is discussed. The video focuses on sequence 13165, a 45-day follow-up event regarding systemic thromboembolism. However, this data element number has been updated to sequence 14948 in the new version 1.4. The video presents a case of a 75-year-old female with a history of TIA and hypertension who had a successful LAAO procedure. Two months later, she presented to the emergency department with symptoms of left calf tenderness, redness, and shortness of breath. Tests confirmed the presence of a DVT and a pulmonary embolus, and the patient was started on a heparin drip. The video poses the question of whether the DVT and pulmonary embolism should be coded as a follow-up systemic thromboembolism event, to which the answer is no. The video provides additional information on the coding of DVT, pulmonary embolism, and non-device related readmission events. No credits were provided for the video.

Keywords

LAAO case scenario

systemic thromboembolism

DVT

pulmonary embolus

coding