CV ASC Registry Education-Seq#5203 (Stress Test Risk-Extent of Ischemia)

Video Transcription

Sequence 5203, Stress Test Risk-Extent of Ischemia, is indicating the risk or extent of ischemia for the non-invasive stress test performed between birth and the current procedure.  While the data dictionary does provide guidance for coding stress test risk and extent of  ischemia, should the information you are provided clearly and explicitly fall within the definition parameters, it would be acceptable to code.  Additionally, it is acceptable to code based on physician documentation or interpretation as this reflects the outcome of the stress test experience.  However, as interpretation of stress test results requires licensing and training, if there is ever any uncertainty in the documentation supplied, please clarify with the physician.  If there is no opportunity to clarify and no documentation present to support coding, unavailable would be coded.

Video Summary

The video discusses the coding of stress test risk and extent of ischemia based on physician documentation or interpretation. Coding should align with the data dictionary guidelines, but can also be based on the physician's assessment. However, if the documentation is unclear, it is important to confirm with the physician to ensure accuracy. If clarification is not possible and there is insufficient documentation, "unavailable" should be coded. This process ensures that the stress test results are coded accurately, reflecting the experience and outcome of the test.

Keywords

coding

stress test

risk assessment

physician documentation

ischemia