AFIB-0822 - Sequence # 4095 | HAS-BLED Bleeding-0822 - Sequence # 4095

Video Transcription

Video Summary

In this video, the AFib Ablation Registry presents a case scenario focused on coding Haas blood bleeding in sequence 4095. An 80-year-old female with AFib, stroke history, uncontrolled hypertension, and retinal hemorrhage requires an ablation procedure due to symptomatic bradycardia. The question is whether Haas blood bleeding should be coded as yes or no based on the patient's documented history. The answer is no because the patient's history of retinal hemorrhage and being on anticoagulant medication alone is not enough to code yes. Additional criteria, such as a genetic predisposition to bleed or a history of major bleed, need to be met. Two bonus questions are also discussed, one involving von Willenbrand disease and the other regarding a provider-documented HAS blood assessment. In the first bonus question with von Willenbrand disease, the answer is yes as the genetic predisposition to bleed is sufficient to code sequence 4095 as yes. In the second bonus question, if the provider's assessment includes bleeding or a predisposition to bleed, sequence 4095 should be coded as yes. The video concludes by summarizing the coding options for this element, which include a provider-documented HAS blood assessment, documented predisposition to bleed, or a major bleeding event meeting specific criteria. No credits are mentioned in the video.

Keywords

AFib Ablation Registry

coding Haas blood bleeding

sequence 4095

retinal hemorrhage

anticoagulant medication