CV ASC Registry Education-ICD Pathway Condition History’s Child Fields Sequence 4225, 4240, 4235, 4230

Video Transcription

Sequence 4225 most recent cardiac arrest date, sequence 4240 bradycardia arrest, sequence 4235 V-fib arrest, and sequence 4230 V-tach arrest will populate when a history of a prior  cardiac arrest is captured. Sequence 4225 most recent cardiac arrest date is indicating the date of the patient's most recent cardiac arrest.  When only the year is known, please code 0101 and insert the known year. However, if the specific year is unknown, the year may be estimated based on timeframes  found in prior documentation. For example, if the patient had documentation of most recent cardiac arrest documented in  a record from 2011, then the year 2011 would be used as sequence 4225 would be coded as 0101-2011.  After indicating the patient had a prior cardiac arrest, sequence 4240 bradycardia arrest wants to know if the patient had a cardiac arrest that was the result of bradycardia.  If this type of documentation is not present, then physician clarification is warranted. Otherwise, no would be coded.  After indicating the patient had a prior cardiac arrest, sequence 4235 V-fib arrest wants to  know if the patient had a cardiac arrest that was the result of ventricle fibrillation as reflected in the documentation.  If this type of documentation is not present, then physician clarification is warranted. Otherwise, no would be coded.  For your knowledge, V-fib arrest is defined as rapid, usually occurring more than 300 beats per minute, grossly irregular ventricular rhythm with marked variability in QRS cycle  length, morphology, and amplitude. After indicating that the patient had a prior cardiac arrest, sequence 4230 V-tach arrest  wants to know if the patient had a cardiac arrest that was the result of ventricular tachycardia.  If this type of documentation is not present, then physician clarification is warranted. Otherwise, no would be coded.  The supporting definition further defines ventricular tachycardia as a cardiac arrhythmia of three or more consecutive complexes in duration emanating from the ventricles at  a rate of 100 beats per minute.

Video Summary

Sequences 4225, 4240, 4235, and 4230 are populated when prior cardiac arrest history is recorded. 4225 represents the most recent date of cardiac arrest. Use 0101 for the year if only year is known; otherwise, estimate based on previous records. 4240 asks if prior cardiac arrest was due to bradycardia; 4235 asks about ventricular fibrillation, and 4230 about ventricular tachycardia as causes. Definitions are included for V-fib and V-tach arrests. Physician clarification is recommended if documentation is lacking. Bradycardia, V-fib, and V-tach arrests are specific cardiac arrest types to be identified after the prior cardiac arrest is noted.

Keywords

cardiac arrest

prior history

4225

4240

4235