Tip of the Week: Understand EP procedure notes in order to assign correct codes
APCs Weekly Monitor, December 14, 2007
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To ensure HIM/coding staff understand electrophysiology (EP) procedure notes and assign correct codes, Jim Collins, CPC-CARDIO, CHCC, ACS, CA, CEO of the Cardiology Coalition in Matthews, NC, recommends that they learn the following terms:
Sinus node (sinoatrial node, SA node): The group of cells that initiate the electrical impulse. The sinus node is the natural pacemaker of the heart.
Atrioventricular node (AV node): The relay station between the atrium and ventricles. This node slows the electrical impulse and has a refractory period that blocks retrograde conduction of impulses and antegrade conduction of extra impulses.
Bundle of His: Connects the AV node to two pathways that reach into each of the ventricles.
Right and left bundle branches: Connect the Bundle of His to contracting fibers in the ventricles (Purkinje).
(The above tip was excerpted from the December issue of Briefings on APCs).
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