For the November 2022 case scenario for the LAAO registry, we will be returning to our HasBlood series, and this month we will focus on HasBlood alcohol for sequence number 4105. Mr. Garcia was admitted for an LAAO procedure after having a long history of symptoms from non-valvular AFib. When coding the LAAO procedure into the registry, the following documentation was found in the patient's history and physical from the provider's office. A provider documented HasBlood score of 4 and the conditions of hypertension, stroke, alcohol use, and antiplatelets being part of the patient's daily regimen used as the conditions to award the points to the risk score. History of CAD with a past PCI and long-standing persistent non-valvular AFib. We also find documentation from the pre-procedure area history and physical gathered by the nurse that Mr. Garcia uses alcohol daily and has a glass of whiskey and a beer every evening. Based on the documentation from both assessments, office, and pre-procedure, how will sequence number 4105 be coded? Number one, no. Or number two, yes. Please review the documentation in question to determine the best answer. We will give you a few seconds to review. The answer is number two, yes. Based on the HasBlood definition, alcohol excess is defined as consuming eight or more units of alcohol per week. The target value for the sequence is any occurrence between 30 days prior to the procedure, meaning the documentation used to code this data element must be within 30 days prior to the start of the procedure. In this case, the provider documented their own HasBlood assessment of the patient within the target value and listed alcohol as a condition to award a point in the risk score, which means HasBlood alcohol can be automatically coded as yes. Based on the HasBlood definition, alcohol excess is defined as consuming eight or more units of alcohol per week. But how do we know how much eight units is? Charts like this one on the slide are readily available by searching alcohol units in the internet browser of your choice. We can see that a shot of whiskey, which is almost an ounce, equals to one unit, and a beer equals two or three units, depending on the size. Based on this chart, Mr. Garcia was consuming at least 21 units of alcohol per week. Additional information. This HasBlood element can be coded with these options. A provider documented that the HasBlood assessment with alcohol use or excess documented as a condition used to award the patient a point in the assessment. In this case, we do not have to look for the amount of alcohol consumed per week. Provider documentation is sufficient to code yes. If the provider did not document their own HasBlood assessment, we would use any documented history or diagnosis of alcohol excess or abuse within the target value, or documentation of the amount of alcohol the patient consumes equaling eight units or more weekly. Thank you for viewing the LAAO Registries case scenario for November of 2022 on HasBlood alcohol. We'll see you next month for our next HasBlood data element in the series.

LAAO registry

HasBlood series

HasBlood alcohol

non-valvular AFib

LAAO procedure