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 transcript discusses the Importance of left ventricular ejection fraction (LVEF) in determining the need for an implantable cardioverter-defibrillator (ICD). It explains that the most recent LVEF percentage cited by the physician within the past year before the procedure should be documented. If not available, any recent LVEF assessment from LV gram, echo, MRI, CT, or nuclear testing should be used. The percentage should be entered between 1 to 99, with a range coded to the lowest number, and less or greater than values rounded to the nearest whole number. In cases where a numeric value is missing, consulting the clinician is necessary for accurate documentation.

Keywords

left ventricular ejection fraction

LVEF

implantable cardioverter-defibrillator

LV gram

echocardiogram