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Catalog
CV ASC Registry Education
Seq#7405 (Chest Pain Symptom Assessment)
Seq#7405 (Chest Pain Symptom Assessment)
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Video Transcription
Sequence 7405 chest pain symptom assessment is indicating the chest pain symptom assessment as diagnosed by the physician or described by the patient that is bringing the patient to the cath lab to meet the target value of on current procedure. It can be coded based on provider documentation such as the patient presents with typical angina with support coding of typical or in the absence of provider documentation this data element is coded meeting the data definition criteria of each selection. Documentation of typical angina, substernal chest discomfort with characteristic quality duration that is provoked by exertion or emotional stress and relieved by rest or nitrogen or CCS4 or unstable angina supports coding typical angina in sequence 7405 chest pain symptom assessment. Documentation of atypical angina or two of the three characteristics of typical angina or CCS1, 2 or 3 supports coding atypical angina in sequence 7405 chest pain symptom assessment. Documentation of non-anginal chest pain or one of the typical characteristics of angina or non ischemic chest pain or costochondritis or chest wall pain supports coding non-anginal chest pain in sequence 7405 chest pain symptom assessment. Documentation of no symptoms no angina or asymptomatic or no complaints of pain supports coding asymptomatic in sequence 7405 chest pain symptom assessment. To code an anginal equivalent the documentation must indicate that the symptom such as shortness of breath represents an anginal equivalent and specify the chest pain symptom type typical or atypical. They are representative of to support coding 7405 chest pain symptom assessment.
Video Summary
Sequence 7405 focuses on assessing chest pain symptoms to determine the cause for cath lab procedures. Documentation of typical angina symptoms, like substernal chest discomfort relieved by rest, supports coding as typical angina. Atypical angina is coded with fewer typical symptoms or lower CCS levels. Non-anginal chest pain is coded for different chest pain causes. Asymptomatic is coded when no symptoms are reported. Shortness of breath can be an anginal equivalent when specifying the type of chest pain. These coding guidelines help accurately document chest pain symptoms in sequence 7405.
Keywords
assessing chest pain symptoms
typical angina symptoms
atypical angina
non-anginal chest pain
asymptomatic
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