CV ASC Registry Education-Seq#4013 (Heart Failure Type)

Video Transcription

Sequence 4013, heart failure type, is indicating the patient's most recent type of heart failure  as classified by the patient's left ventricular ejection fraction prior to the procedure. It can be coded based on physician diagnosis, such as HFREF would be coded as heart failure  with reduced ejection fraction, or on descriptive documentation that meets the definition in the data dictionary.  Selections include heart failure with reduced ejection fraction, or HFREF, which is also referred to as systolic heart failure, or cardiomyopathy.  This is heart failure in a patient with documented LVEF of 40% or less. Heart failure with preserved ejection fraction, HFPEF, is heart failure in a patient with  documented LVEF of 50% or more. And lastly, heart failure with mid-range ejection fraction, HFMEF, is heart failure in a patient  with documented LVEF of greater than 40 but less than 50. If the type of heart failure is unknown, then sequence 4014, heart failure type unknown, would be selected instead.

Video Summary

Sequence 4013 classifies the patient's heart failure type based on left ventricular ejection fraction before a procedure. It can be coded as HFREF for reduced ejection fraction, HFPEF for preserved ejection fraction, or HFMEF for mid-range ejection fraction, depending on the documented LVEF percentage. HFREF, or systolic heart failure, is diagnosed with LVEF 40% or less. HFPEF is diagnosed with LVEF 50% or more, while HFMEF falls between 40-50%. If the heart failure type is unknown, sequence 4014 is chosen.

Keywords

heart failure classification

left ventricular ejection fraction

HFREF

HFPEF

HFMEF