AFIB-1020 - Sequence # 4410 & 4415 | Attempt at Atrial Fibrillation Termination and Pharmacologic Cardioversion-1020 - Sequence # 4410 & 4415 | Attempt at Atrial Fibrillation Termination and Pharmacologic Cardioversion

1020 - Sequence # 4410 & 4415 | Attempt at Atrial Fibrillation Termination and Pharmacologic Cardioversion

Video Transcription

Video Summary

In the October 2020 AFib Ablation Registry Monthly Case Scenario, a patient is admitted for an AFib Ablation procedure. The patient takes amiodarone for rate control and confirms that their last dose was taken 23 hours ago. Based on the documentation, it is not safe to assume that an attempt to terminate AFib through pharmacologic cardioversion took place. Therefore, Sequence 4410, Attempt at Atrial Fibrillation Termination, is coded as No. Consequently, Sequences 4415 to 4430, including Pharmacologic Cardioversion, DC Cardioversion, and Catheter Ablation, do not need to be coded. Sequence 4415, Pharmacologic Cardioversion, is only coded if specific documentation confirms the use of antiarrhythmic medication for cardioversion purposes. The importance is placed on capturing attempts for immediate acute cardioversion using pharmacologic agents.

Keywords

AFib Ablation Registry

patient admission

AFib Ablation procedure

amiodarone

rate control