STS/ACC TVT v3 Education-Sequence# 5055 - 5045 Non-Ventricular Paced QRS Duration and Only Ventricular Paced QRS Complexes Present (Video 1:03)

Sequence# 5055 - 5045 Non-Ventricular Paced QRS Duration and Only Ventricular Paced QRS Complexes Present (Video 1:03)

Video Transcription

Sequence 5055, non-ventricular paced QRS duration, is a new data element that is applicable to mitral clip, mitral replacement, and tricuspid procedures.  The QRS is coded on a surface 12-lead ECG only and is not coded on an intracardiac ECG. When an ECG is not available, a rhythm strip or physician documentation may be used for  coding purposes. Sequence 5045, only ventricular paced QRS complexes present, is a new data element that is applicable to mitral clip, mitral replacement, and tricuspid procedures.  This data element only assesses if 100% paced complexes are present. When the patient has any intrinsic beats, please code NO for this data element.  When an ECG is not available, a rhythm strip or physician documentation may be used for coding.

Video Summary

Two new data elements, sequence 5055 and sequence 5045, have been introduced for mitral clip, mitral replacement, and tricuspid procedures. Sequence 5055 measures non-ventricular paced QRS duration and is coded using a surface 12-lead ECG, but not an intracardiac ECG. If an ECG is unavailable, a rhythm strip or physician documentation can be used. Sequence 5045 determines if only ventricular paced QRS complexes are present. If any intrinsic beats are detected, this data element should be coded as NO. Again, when an ECG is not available, a rhythm strip or physician documentation can be used.

Keywords

data elements

mitral clip

mitral replacement

tricuspid procedures

QRS duration