Thank you for reviewing the AFib Ablation Registry Monthly Case Scenario for September 2020. This month's case scenario is focused on Sequence 9105 Phrenic Nerve Damage. We have documentation of a patient being admitted for an AFib ablation procedure. During the patient's ablation procedure, cryoablation is used as a strategy to ablate the patient's AFib rhythm. During the use of cryoablation to the pulmonary veins, the phrenic nerve capture was noted to be lost. Cryoablation was immediately terminated and other ablation strategies were used to finish the procedure. The patient was transferred to the postoperative area post-procedure. The patient's phrenic nerve damage was observed overnight and was documented as resolved prior to the patient's discharge. Based on the documentation available, will phrenic nerve damage be coded as an intra or post-procedure event in Sequence 9105? Yes or no? Please review the documentation and question to determine the best answer. We will give you a few seconds to review. The answer is number two, no. For the purpose of the AFib ablation registry, please do not code yes to Phrenic Nerve Damage Sequence 9105 if it is a transient episode and the injury resolves within the patient's hospital admission. If the nerve damage is not transient and continues after discharge, phrenic nerve damage will be coded as an intra or post-procedure event. Thank you for reviewing the AFib Ablation Registry Monthly Case Scenario for September 2020.

AFib Ablation Registry

Monthly Case Scenario

cryoablation

phrenic nerve capture

intra-procedure event