The EP device implant registry case scenario for December of 2022 will review sequence number 4280 syncope. In this scenario, a 35-year-old male is admitted for a generator change after a recent witness episode of loss of consciousness and spontaneous recovery. His history includes a single chamber ICD implanted at the age of 18 for a clinical diagnosis of long QT syndrome. His wife reported he woke up immediately after he collapsed. After the cardiologist reviewed the device event log, it was determined the cause of the momentary loss of consciousness was due to an episode of ventricular fibrillation, which was successfully treated with shock therapy. A reversible cause is not identified. Therefore, the V-fib event is deemed not due to a reversible cause. How is sequence number 4280 syncope coded? Number one, no. Or number two, yes. Please take a moment to review the documentation and question before making your final determination. Per the EPDI steering committee, when there is a documented loss of consciousness in a patient with an appropriate ICD shock therapy resulting in recovery, then syncope sequence 4280 is coded yes. This is supported in FAQ number 25448. Per FAQ number 25448, how is sequence number 4280 syncope coded when there is a documented loss of consciousness with appropriate shock or ATP therapy? And the answer states, per the steering committee, sequence number 4280 syncope is coded yes if there is a documented loss of consciousness in a patient with a device and appropriate therapy was delivered resulting in recovery as a cardiac arrest was aborted. Thank you for viewing the EP Device Implant Registries December 2022 case scenario.

EP Device Implant Registry

case scenario

sequence number 4280

syncope

ventricular fibrillation episode