Atrioventrricular block post quad bypass

fwnewbie

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You're talking about two separate systems in the heart: the bypass is for the circulatory system and the and AV block refers to the electrical system within the heart muscle. I don't remember if an AV block can be caused by a compromised blood circulation, but I'm leaning toward "no".
Does the post op EKG still show an AV block? If yes, then it is still a factor in this patient's history.
 

Tinakim18

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You're talking about two separate systems in the heart: the bypass is for the circulatory system and the and AV block refers to the electrical system within the heart muscle. I don't remember if an AV block can be caused by a compromised blood circulation, but I'm leaning toward "no".
Does the post op EKG still show an AV block? If yes, then it is still a factor in this patient's history.
This is very helpful. All that the provider documented is this:
  • Atrioventricular block, complete [ICD-10: I44.2] Comment: Stable since Quadruple bypass in 5/2019. Cont to f/u with cardiologist every 6 months.
As you said, the bypass is for the circulatory system, which stabilized the atrioventricular block. Therefore the condition should still be coded. Stable, not resolved. Would you agree?
 

thomas7331

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This is very helpful. All that the provider documented is this:
  • Atrioventricular block, complete [ICD-10: I44.2] Comment: Stable since Quadruple bypass in 5/2019. Cont to f/u with cardiologist every 6 months.
As you said, the bypass is for the circulatory system, which stabilized the atrioventricular block. Therefore the condition should still be coded. Stable, not resolved. Would you agree?

Agree, 'stable' does not mean 'resolved'. The provider is indicating that the condition is still present, so it would be coded as such. I would add Z95.1 to indicate the history of the bypass. Whether or not the block was caused by the coronary artery disease that required the bypass is not really relevant and would not change the coding in this situation.
 

fwnewbie

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Researched "causes of AV heart block" and found common cause is due to MI - just to satisfy my curiosity.
I assumed from the original post that pt was fresh out of bypass surgery so that would have been the primary concern in my mind would start with arterial occlusions, followed by dx of AV block.
But since this is not the case I totally agree with Thomas.
 
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