Sequence 14731, Reason Pacing Indicated, is indicating the reason for pacing when there is a bradycardic indication present. This is a multiple select field, so capture all that apply. We have provided some common documentation examples that we have seen that would be used to support coding certain reasons for pacing indicated selections. As an example, anticipated requirement of 40% or more ROV pacing would be coded when the plan is to perform an AV node ablation prior to or after a CRT implantation, or the patient has intrinsic complete heart block, or when there is a statement by the clinician indicating the CRT is being implanted due to worsening heart failure despite optimal guideline directed maximum therapy. AV node ablation would be coded if there is some documentation when the plan is to perform an AV node ablation prior to or after their CRT implantation. Chronotropic incompetence would be coded when pharmacological rate control is documented by the clinician. Complete heart block intrinsic would be coded when the patient has an intrinsic complete heart block. Heart failure unresponsive to guideline directed maximum therapy would be selected when there is a statement by the clinician indicating the CRT is being implanted due to worsening heart failure despite optimal guideline directed maximum therapy.

bradycardia

pacing percentage

AV node ablation

chronotropic incompetence

heart failure