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

case scenario

75-year-old patient

atrial fibrillation ablation procedure

cardioversion attempts