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0621 - Seq# 14729 | Primary Tachycardia Indication ...
0621 - Seq# 14729 | Primary Tachycardia Indication ...
0621 - Seq# 14729 | Primary Tachycardia Indication Present
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Video Transcription
The EP device implant case scenario for June will review sequence 14729 primary tachycardia indication present. A 73-year-old female presents for a scheduled CRTP device insertion. As it is anticipated, her right ventricle will need paste more than 40% of the time. Her past medical history includes heart failure with an EF of 15% and persistent atrial fibrillation with frequent rapid episodes that when treated with her beta blocker caused severe bouts of symptomatic bradycardia. How is sequence 14729 primary tachycardia indication present coded? Is it 1, no, 2, yes, or 3, it's left blank? Please take a moment to review the documentation and the question. The answer is number 3, the data element is left blank. When CRTP is coded in sequence 7025, final device type, sequence 14729 primary tachycardia indication present will not open for selection. Per the Data Dictionary Full Specifications version 2.3, sequence 14729 primary tachycardia indication present will open for selection only when sequence 7025 final device type is coded as CRTD, ICD dual-chamber, ICD single-chamber, or sub-q ICD. Additionally, patients receiving an ICD have a primary indication for the device due to anticipated or current ventricular tachycardia arrhythmias, and yes would then be coded in sequence 14729 primary tachycardia indication present for those scenarios. Thank you for viewing the EP device implant registry case scenario for June 2021.
Video Summary
In this video, the case scenario for June focuses on an EP (electrophysiology) device implantation. A 73-year-old female with a history of heart failure and atrial fibrillation requires a CRTP (Cardiac Resynchronization Therapy with Defibrillator) device insertion. The question is about the coding for sequence 14729, which represents the primary indication for tachycardia. The answer is number 3, where the data element is left blank. In order for sequence 14729 to be selected, the final device type (sequence 7025) should be coded as CRTD, ICD dual-chamber, ICD single-chamber, or sub-q ICD. For patients receiving an ICD with primary indications for ventricular tachycardia, "yes" is coded for sequence 14729. This case scenario belongs to the EP device implant registry for June 2021.
Keywords
EP device implantation
CRTP device insertion
coding
sequence 14729
primary indication for tachycardia
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