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1021 - Sequence # 7180 & 7190 | Cardioversion (CD) ...
1021 - Sequence # 7180 & 7190 | Cardioversion (CD) ...
1021 - Sequence # 7180 & 7190 | Cardioversion (CD) Performed During Procedure
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Video Transcription
Thank you for viewing the afib ablation registry monthly case scenario for October of 2021. This month's case scenario is focused on sequence number 4440, attempt at atrial fibrillation termination slash surgical ablation. While abstracting the procedure of a 75-year-old patient who underwent a successful afib ablation procedure in our facility, we come across documentation from the procedure log stating the patient was cardioverted twice during the procedure. The first attempt at cardioversion was performed using a medication which was unsuccessful in cardioverting the patient. This unsuccessful attempt was followed by a DC or direct current cardioversion, which was successful at cardioverting the patient. Based on the documentation found, when coding cardioversion performed during procedure, sequence number 7180, which cardioversion attempt will be coded? Will it be coded as pharmacologic cardioversion, sequence number 7185, which was an unsuccessful attempt, DC cardioversion, sequence number 7190, which was the successful attempt at or click both. 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, both. Based on the documentation provided, we would code both methods of cardioversion as both were attempted during the procedure. Both methods will be coded regardless if they were successful in converting the patient as the sequences are specifically asking if the methods were performed or attempted. Thank you for reviewing the afib ablation registry monthly case scenario for October of 2021.
Video Summary
In the video, the case scenario focuses on a 75-year-old patient who underwent an atrial fibrillation (afib) ablation procedure. During the procedure, the patient was cardioverted twice. The first attempt at cardioversion using medication was unsuccessful, while the second attempt using direct current (DC) cardioversion was successful. The question arises as to how to code these cardioversion attempts. After reviewing the documentation, it is concluded that both methods of cardioversion should be coded, regardless of their success, as the question specifically asks if the methods were performed or attempted. The video concludes by thanking viewers for reviewing the afib ablation registry monthly case scenario for October 2021. No credits are mentioned.
Keywords
video
case scenario
75-year-old patient
atrial fibrillation ablation procedure
cardioversion attempts
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