CV ASC Registry Education-Seq#14731 (Reason Pacing Indicated)

Video Transcription

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.

Video Summary

Sequence 14731, Reason Pacing Indicated, explains the reasons for pacing in the presence of bradycardia. This selection involves capturing multiple reasons such as anticipated need for pacing during AV node ablation or after CRT implantation, intrinsic complete heart block, and CRT implantation for worsening heart failure despite maximal therapy. Coding examples include AV node ablation, chronotropic incompetence with pharmacological rate control, intrinsic complete heart block, and heart failure unresponsive to guideline-directed therapy. The clinician's explicit documentation is crucial for coding these reasons accurately in the context of pacing indications.

Keywords

pacing indications

bradycardia

AV node ablation

chronotropic incompetence

heart failure