Name of the Procedure:

Assessment for Thromboembolism Risk Common name: Thromboembolism Risk Assessment Technical term: Evaluation of Thromboembolic Risk Factors (HCPCS Code G8972)

Summary

This procedure involves evaluating a patient for one or more high-risk factors or more than one moderate-risk factor for thromboembolism, which is the formation of a blood clot that can cause serious complications if it travels to the lungs, heart, or brain.

Purpose

The main purpose of this assessment is to identify patients who are at an increased risk of developing thromboembolism. By identifying these factors, appropriate preventive measures can be implemented to reduce the risk of complications such as deep vein thrombosis (DVT) or pulmonary embolism (PE).

Indications

• History of previous thromboembolism
• A family history of clotting disorders
• Recent major surgery or trauma
• Prolonged immobility
• Cancer and certain cancer treatments
• Use of hormone replacement therapy or oral contraceptives
• Pregnancy or recent childbirth
• Chronic conditions such as heart failure or inflammatory bowel disease

Preparation

• Patients may be asked to provide a detailed medical history.
• They might need to disclose any medications they are currently taking, especially blood thinners.
• No specific fasting or special diet is generally required unless specified by the healthcare provider.

Procedure Description

1. Initial patient interview and collection of medical history.
2. Physical examination to check for signs of thrombosis.
3. Diagnostic tests such as blood tests, ultrasound, or other imaging studies may be ordered to assess clotting factors and blood flow.
4. Assessment of lifestyle factors and possible risk behaviors. Tools & Equipment:
   • Blood pressure cuff, stethoscope
   • Ultrasound machine, blood test kits Anesthesia or Sedation: Not typically required.

Duration

The assessment typically takes about 30 minutes to 1 hour, depending on the extent of the evaluation and any additional tests needed.

Setting

This procedure is usually performed in a hospital, outpatient clinic, or a doctor's office.

Personnel

• Primary care physician or specialist (e.g., a hematologist)
• Nurse or medical assistant
• Radiologist or technician for imaging tests if required

Risks and Complications

• Minimal risks are associated with the assessment itself.
• Blood tests may cause minor discomfort or bruising.
• Imaging tests generally have no significant risks. Possible complications are generally related to the underlying risk factors rather than the assessment process.

Benefits

• Early identification of risk factors for thromboembolism.
• Initiation of preventive measures can significantly reduce the risk of serious complications.
• Tailored treatment plans based on individual risk profiles. Benefits are typically realized immediately after prevention strategies are implemented.

Recovery

• No recovery time is needed for the assessment itself.
• Follow-up appointments may be required to monitor risk factors and the effectiveness of preventive measures.
• Patients might receive specific instructions on lifestyle changes or medication adjustments.

Alternatives

• Basic physical exams without a detailed risk assessment, which may not be as thorough.
• Patient education on symptom awareness without formal risk assessment. Pros and Cons: The described procedure (HCPCS Code G8972) provides a comprehensive evaluation which is more thorough in risk identification compared to simpler methods.

Patient Experience

• Patients might feel nervous about potential findings but can be reassured by the preventive nature of the assessment.
• Minor discomfort may occur during blood draws.
• Comfort measures include explaining each step and answering questions to ensure the patient understands the process.