CV ASC Registry Education-Seq#4160 (Most Recent LVEF %)

Video Transcription

Sequence 4160, most recent LVEF percent, is indicating the left ventricular ejection fraction  cited by the implanting physician as the indication for the ICD in the last 12 months prior to the start of the procedure.  In the absence of a physician-cited LVEF, indicate the most recent LVEF that was assessed via any means, so LV gram, echo, MRI, CT, or nuclear testing.  This is going to be entered as a percentage in the range of 1 to 99. If a percentage range is reported, you're going to code the lowest number of that range.  So if the provider documents that the most recent LVEF is 50 to 55 percent, you're going to code 50 as that's the lowest.  An LVEF measurement that is reported as less than or greater than will be coded to the nearest whole number.  So if there is documentation that says the LVEF is less than 40, then 39 would be coded and vice versa. If it's greater than 40, then 41 percent would be coded.  When a numeric value is not associated with the ejection fraction, then the clinician must be consulted and the numeric value documented in the medical record in order to code.

Video Summary

The most recent left ventricular ejection fraction (LVEF) percentage, cited by the implanting physician as the indication for the ICD within the last 12 months before the procedure, should be entered as a percentage between 1 and 99. In the absence of this specific percentage, any recent LVEF assessed through various means such as LV gram, echo, MRI, CT, or nuclear testing should be used. If a range is given, the lowest number should be coded. If a measurement is reported as less than or greater than a specific number, code to the nearest whole number. If no numeric value is provided, consult the clinician for documentation.

Keywords

left ventricular ejection fraction

LVEF percentage

ICD indication

LV gram

echocardiogram