IMPACT-0426 - Sequence #11019 TPVR Echocardiogram LVEF-IMPACT-0426

IMPACT-0426 - Sequence #11019 TPVR Echocardiogram LVEF

Video Transcription

Video Summary

The April 2026 IMPACT Registry case reviews how to code sequence 11019 (TPVR echocardiogram LVEF) for a 17-year-old female with complex congenital heart disease undergoing transcatheter pulmonary valve replacement. Pre-procedure echo shows RVOT stenosis, moderate pulmonary insufficiency, and “mildly reduced” LVEF. The correct coding choice is 45%. When LVEF is recorded descriptively (e.g., mildly reduced), coders should use the descriptive table in Additional Coding Directive 18598. The same table may also be applied to sequence 11032 (MRI LVEF).

Keywords

transcatheter pulmonary valve replacement (TPVR)

pulmonary atresia with tetralogy of Fallot

failing pulmonary homograft conduit

conduit stenosis and calcification

procedural coding and intent classification

IMPACT Registry April 2026 case review

sequence 11019 TPVR echocardiogram LVEF coding

mildly reduced LVEF descriptive table Additional Coding Directive 18598

transcatheter pulmonary valve replacement congenital heart disease

sequence 11032 MRI LVEF coding guidance