STS/ACC TVT v3 Education-Sequence# 13700

Video Transcription

Sequence 13700 Low Flow is a new data element to the TAVR module and is a child field of aortic stenosis.  When aortic stenosis is coded as yes and the echo result for the AV mean gradient, sequence 13674, is less than 40 mmHg, then Low Flow would be coded when the stroke volume index  is less than 35 mL per square meter. If the AV mean gradient or Low Flow is not documented in the echo report, please leave  sequence 13700 blank and code sequence 13701 Low Flow not documented. This data element was added to the full dataset for use in evaluation for future appropriate  use criteria because in some cases it is not appropriate to perform a transcatheter aortic valve procedure in patients with Low Flow.

Video Summary

The video discusses a new data element called Low Flow in the TAVR module. It is a child field of aortic stenosis and is coded when aortic stenosis is present and the echo result for AV mean gradient is less than 40 mmHg. Low Flow is coded when the stroke volume index is less than 35 mL per square meter. If AV mean gradient or Low Flow is not documented, sequence 13700 is left blank and sequence 13701 is coded as Low Flow not documented. This data element is added to the dataset for evaluation of future appropriate use criteria for transcatheter aortic valve procedures.

Keywords

Low Flow

TAVR module

data element

aortic stenosis

AV mean gradient