Thank you for reviewing the AFib Ablation Registry Monthly Case Scenario for December 2021. This month's case scenario is focused on how to capture a history of AV node ablations when coding attempts at atrial fibrillation termination in sequence 4410. Our documentation is as follows. Mr. Perez was admitted for a planned AFib ablation procedure, which was planned to be performed using pulmonary vein isolation. Mr. Perez's past medical history includes persistent AFib with rapid ventricular response, an AV node ablation with pacemaker placement, hypertension, high cholesterol, obesity, and depression. When capturing Mr. Perez's rhythm history, will the AV node ablation with pacemaker placement be captured as an attempt to terminate AFib in sequence 4410? Is it number one, no? Or number two, yes? Please review the documentation and question to determine the best answer. We will allow you a few seconds to review. And the answer is number one, no. The AV node ablation procedure with pacemaker placement is performed for rate control of atrial fibrillation, not to ablate an AFib rhythm. Although the AV node ablation is performed to treat AFib, it is not an actual ablation of an AFib rhythm. Therefore, an AV node ablation will not be captured as an attempt at atrial fibrillation termination in sequence 4410. And sequence 4410 will be coded as no. Thank you for reviewing the AFib Ablation Registry Monthly Case Scenario for December 2021.

AFib Ablation Registry

Monthly Case Scenario

December 2021

atrial fibrillation termination

AV node ablation