0920 - Sequence # 5130 | Fluoroscopy Time-0920 - Sequence # 5130

Video Transcription

This is the IMPACT Registry September 2020 case scenario, Fluoroscopy, Sequence 5130 Fluorotime.  A 15-year-old female experiencing frequent tachycardic episodes that is refractory to treatment with beta blockers and antiarrhythmic drugs presents to the cath lab for an EP cath.  The physician documents CARTO3 mapping system with ultrasound and no radiation for procedure. How is Sequence 5130 Fluorotime coded? Number one, leave blank, or number two, zero.  Here is your documentation and your question for review. In the given scenario, zero would be coded for Sequence 5130 Fluorotime.  When no radiation is used, then zero is coded for Fluorotime, Sequence 5130, rather than leaving this data element blank.  Additionally, because no radiation was used, then zero would also be coded for both Sequence  5515 Cumulative Air Kerma and Sequence 5525 Dose Area Product, indicating that no radiation was used during the procedure.  Because all three data fields have been coded zero, indicating that radiation was not used, the patient is excluded from Metric 21, Radiation Dose, All Procedures.  Thank you for viewing the Impact Registry Monthly Case Scenario for September 2020.

Video Summary

In the video, the case scenario involves a 15-year-old female who presents to the cath lab for an EP cath due to frequent tachycardic episodes. The physician uses the CARTO3 mapping system with ultrasound and documents no radiation for the procedure. The question is how to code Sequence 5130 Fluorotime. The answer is zero, indicating that no radiation was used. This also applies to Sequence 5515 Cumulative Air Kerma and Sequence 5525 Dose Area Product, indicating the absence of radiation. As a result, the patient is excluded from Metric 21, Radiation Dose, All Procedures.

Keywords

video

case scenario

15-year-old female

EP cath

frequent tachycardic episodes