Thank you for reviewing the AFib Ablation Registry Monthly Case Scenario for June 2023. This case scenario is focused on coding Chad's Vasc Stroke, sequence number 4030. This scenario, we are abstracting Mr. Pitt's ablation procedure, which was performed with pulmonary vein isolation, as well as left atrium posterior wall ablation lines. Mr. Pitt's documented past medical history includes persistent AFib, for which he is on a daily antiarrhythmic, hypertension, heart failure, which is documented as mild, and stroke, which is documented as being of hemorrhagic origin. Mr. Pitt is on a daily anticoagulation regimen of a DOAC medication, as well as a baby aspirin daily. When capturing this patient's Chad's Vasc Risk Score, based on the documentation provided, how will sequence 4030, Chad's Vasc Stroke, be coded? Number one, no. Or number two, yes. Please take a few moments to review the documentation in question to determine the best answer. The answer is number one, no. Based on the coding instructions, Chad's Vasc Stroke is coded to indicate if the patient has a history of stroke of ischemic origin, or a stroke of undetermined origin. The target value for this sequence is any occurrence between birth and the procedure, meaning that any documentation found current or from past encounters can be used to code this element. For the purpose of the AFib ablation registry, in this case, there is documentation of history of stroke. However, the stroke origin is documented as hemorrhagic. This element does not include strokes of hemorrhagic origin. Based on the documentation of the patient having a history of a hemorrhagic stroke in their medical record, we would code no to this data element, as Chad's Vasc Stroke does not include hemorrhagic strokes. As mentioned in the previous slide, it only includes ischemic and undetermined origin strokes. This Chad's Vasc element can be coded having any one of these options available. Number one, provider-documented Chad's Vasc assessment performed and stroke was indicated as a condition, or documented history of ischemic or undetermined stroke. Thank you for reviewing the AFib ablation registry monthly case scenario for June of 2023.

AFib Ablation Registry

June 2023

coding

Chad's Vasc Stroke

sequence number 4030