CV ASC Registry Education-Seq#8007 (TIMI Flow (Pre-Intervention))

Video Transcription

Sequence 8007, TIMIFLO pre-intervention, indicates the lowest pre-intervention TIMIFLO through the lesion on the current procedure.  If a lesion spans multiple segments with different TIMIFLO, code the lowest TIMIFLO within the entire lesion. It is coded based on physician documentation.  Otherwise, the only descriptive terms allowed for coding of TIMIFLO are those in the data definition for each data element in the absence of physician documentation to assure consistency in the capturing of these data elements.  However, when a lesion is 100% occluded, it is understood to obstruct all anti-grid flow and TIMI0 can be coded for sequence 8007.  Do note, the intent of TIMIFLO grading system is to categorize anti-grid flow. Perfusion from collaterals should not be counted when evaluating TIMIFLO.

Video Summary

In pre-intervention sequence 8007, the lowest TIMIFLO through a lesion is coded based on physician documentation. If a lesion covers multiple segments with varying TIMIFLO, code the lowest TIMIFLO for the entire lesion. When a lesion is completely blocked, TIMI0 is used. The TIMIFLO grading system categorizes anti-grid flow, excluding perfusion from collaterals. Without physician documentation, only descriptive terms listed in the data definition should be used for consistency. This process ensures accurate data capture in evaluating TIMIFLO during procedures.

Keywords

TIMIFLO

intervention sequence

lesion

physician documentation

TIMI0