STS/ACC TVT v3 Education-Sequence# 13468 - 13469 Aortic Valve Morphology and Ascending Aorta Size (Video 1:22)

Sequence# 13468 - 13469 Aortic Valve Morphology and Ascending Aorta Size (Video 1:22)

Video Transcription

The coding of sequence 13468 aortic valve morphology for version 3.0 represents a change in target value and coding options.  In version 2.1, the target value was any occurrence between 12 months prior to the procedure and start of the procedure.  The selections of the valve morphology were based on the most recent morphology seen on imaging studies.  For version 3.0, sequence 13468 will be coded to the value at birth and the morphology will have less selections and will focus on the earliest known valve type.  If the patient was born with a normal trileaflet aortic valve and later diagnosed with fused  leaflets possibly due to calcifications or other medical conditions, please code tricuspid. Sequence 13469, ascending aorta size, is a new data element for TAVR.  This data element seeks to determine if the ascending aorta size has been documented in the medical record based on echocardiographic findings.  When the size is not documented, please leave sequence 13469 blank and code sequence 13470, ascending aorta size not documented.

Video Summary

In version 3.0, there are changes to the coding of aortic valve morphology. The target value now represents the value at birth and there are fewer options for selecting the morphology, focusing on the earliest known valve type. If a patient was born with a normal trileaflet valve and later diagnosed with fused leaflets, code it as tricuspid. Another new data element is sequence 13469, which checks if the size of the ascending aorta is documented in the medical record based on echocardiographic findings. Leave it blank and code sequence 13470 if the size is not documented.

Keywords

version 3.0

aortic valve morphology

tricuspid

data element

echocardiographic findings