Sequence 4561, the Canadian Study of Health and Aging Clinical Frailty Scale, is captured on both procedures of the CAF-PCI pathway. It is capturing the current or most recent condition of the patient's physical condition observed prior to their CAF-PCI procedure. Any descriptive documentation found in the medical record by any clinician that meets the definition is satisfactory. So if it's documented in the medical record that the patient reports they are normally active but now are unable to ambulate on arrival due to pain, then that would be enough to code vulnerable. Or if there's physician documentation of a specific frailty scale, that will support coding. So if the physician says the patient is vulnerable, that will satisfy the definition to code vulnerable, assuming the physician is familiar with the scale.

Canadian Study of Health and Aging Clinical Frailty Scale

Sequence 4561

CAF-PCI pathway

physical condition

vulnerability