AFIB-0423 - Sequence # 4025 | CHADS-VASc - Diabetes Mellitus-0423 - Sequence # 4025

0423 - Sequence # 4025 | CHADS-VASc - Diabetes Mellitus

Video Transcription

Video Summary

In the video, the focus is on coding CHADS-VASC diabetes mellitus, sequence number 4025. Mrs. Perez is admitted for an AFib ablation procedure and has a past medical history of paroxysmal atrial fibrillation, high cholesterol, hypertension, and takes Sotalol daily. CHADS-VASC diabetes mellitus is coded by considering any occurrence within 30 days prior to the procedure. In this case, there is documentation within the timeframe indicating diabetes as part of the patient's history and physical, as well as being included in the provider's CHADS-VASC assessment. This is considered sufficient documentation to code yes to sequence 4025. Various options are available to code this element, including provider documentation of the CHADS-VASC assessment with diabetes, documented diagnosis or active history of diabetes, patient taking oral hypoglycemic agent or insulin, or documented fasting plasma glucose level greater than 7.0 within 30 days prior to the procedure.

Keywords

coding CHADS-VASC diabetes mellitus

sequence number 4025

AFib ablation procedure

paroxysmal atrial fibrillation

diabetes