Hello, everyone, and welcome to our case scenario for the month of December 2024. This month, we will be discussing how to abstract sequence 15714, pulmonary vein isolation, or the registry current version 2.0. We have documentation of Mr. Shirazi being admitted for an AFib ablation procedure. He has a medical history of paroxysmal atrial fibrillation, hypertension, and sleep apnea, for which he uses a CPAP at night. Mr. Shirazi's procedure notes indicate that an ablation to isolate the pulmonary veins was performed using the wide area circumferential ablation approach, as well as carinal line ablations. It was also documented the ablations were performed using radiofrequency, as well as pulse field. Our question is, based on the procedure documentation, how will the ablation be captured, since wide area circumferential ablation approach was used? Will it be captured as pulmonary vein isolation in sequence 15714, or adjunctive ablation lesions in sequence 7165? Please take a moment to review the documentation and the question before making your final answer. The answer is number one, pulmonary vein isolation, sequence 15714. If the purpose of performing an AFib ablation using the wide area circumferential ablation approach with carinal lines is to achieve the isolation of the pulmonary veins, it will only be necessary to code pulmonary vein isolation in sequence 15714. In scenarios where the carinal lines are performed on their own without the objective of pulmonary vein isolation, then it will be captured as adjunctive ablation lesions, and other as location in sequence 7165. We thank you for taking the time to review our latest case scenario.

coding sequence 7165

adjunctive ablation lesions

pulmonary vein isolation

radiofrequency ablation

new registry version 2.0

paroxysmal atrial fibrillation

wide area circumferential ablation

pulse field ablation