LAAO-0720 - Sequence # 7035 | Indication for LAA Occlusion-0720 - Sequence # 7035

Video Transcription

Video Summary

The video discusses a case scenario involving the coding of indication for LAA occlusion, specifically focusing on sequence 7035. In this scenario, a 78-year-old female with a history of hypertension, persistent non-valvular atrial fibrillation, and an LVEF of 39% is admitted for an LAA occlusion procedure. The CHADS score is 2 and the CHADS-VAS score is 5. The physician documents that the procedure is being performed based on the patient's labial INR values while on anticoagulation. The nursing assessment reveals that the patient no longer wants to take warfarin. The correct code for the indication for LAA occlusion is number three, labial INR, as per the documentation provided by the clinician. The video also addresses the coding for CHADS-VAS score and CHADS score, noting the criteria used for determining them. The patient in the scenario qualifies for inclusion in the numerator of metric 3 as they have a CHADS-VAS score of 5 and valvular atrial fibrillation coded as no. The video suggests referring to the Outcome Report Companion Guide document for more information about metrics 1 through 9, which can be found in the Resources section.

Keywords

LAA occlusion

coding indication

sequence 7035

labial INR

CHADS-VAS score