Procedure Type: TEE/Cardioversion

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Description

This phenotype determines whether a case was a TEE or cardioversion, including EP studies and cardiac ablation procedures, based on a combination of Anesthesia CPTs, Surgical CPTs, procedure text, and using the Procedure Type: Cardiac (new) phenotype.

Limitation

May include cancelled cases.

Data quality is limited to individual site documentation accuracy, completeness, and variable mapping, which is performed by each site, independently. MPOG, as the coordinating center, reviews data quality at each data upload and monthly via Data Diagnostics and Case Validation tools. This review, while thorough, may not contain all data elements relevant to this phenotype and thus should be carefully reviewed by the user.

Value Type

Categorical

Enumeration

Value	Value Code	Definition

Return Columns

Column Name	Data Type

Granularity

Logic

Step 1: Does case match at least one Anesthesia CPT, Surgical CPT or Room Tag? If actual CPTs are not available, use predicted rank 1 CPTs. If Yes, go to Step 1a. If No, go to Step 2.

Anesthesia CPT	Anesthesia CPT Descripton
00410	Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; electrical conversion of arrhythmias
00537	Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation
01922*	Anesthesia for non-invasive imaging or radiation therapy

Surgical CPT	Surgical CPT Description
92960	Cardioversion, elective, electrical conversion of arrhythmia; external
93312	Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report
93313	Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); placement of transesophageal probe only
93600	Bundle of His recording
93602	Intra-atrial recording
93603	Right ventricular recording
93610	Intra-atrial pacing
93612	Intraventricular pacing
93618	Induction of arrhythmia by electrical pacing
93619	Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia
93620	Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording
93624	Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia
93631	Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction
93640	Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement ;
93641	Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator
93642	Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)
93650	Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement
93651	Intracardiac catheter ablation of arrhythmogenic focus; for treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathways, accessory atrioventricular connections or other atrial foci, singly or in combination
93652	Intracardiac catheter ablation of arrhythmogenic focus; for treatment of ventricular tachycardia

Room Tag: Service specific room - Electrophysiology/Cardiac cath

Step 1a: Is the predicted or actual Anesthesia CPT is 01922? If Yes, go to Step 1b. If No, go to Step 1c.

Step 1b: Does the procedure text includes “Transesophageal echo”, cardioversion, TEE, echo, or “ECHO TEE”? If Yes, go to Step 2. If No, result 'No' and stop.

Step 1c: Does the case match on room tag only? If Yes, go to Step 1d. If No, go to Step 2.

Step 1d: Does procedure text match any: Ablation, "Cardioversion", "EP study", “Echocardiogram”, “TEE”, Transesophageal, or Echo? If Yes, go to Step 2. If No, Result 'No' and stop.

Step 2: Does case return Procedure Type: Cardiac (new) value ‘EP/Cath’ (value_code 2)? If Yes, continue to Step 3, if No, return No and stop.

Step 3: Does procedure text inlcude: Ablation, cardioversion, “EP Study”, echocardiogram, TEE, transesophageal, or echo? If yes continue to Step 4. If no, return No and stop.

Step 4: Does procedure text include "defibrillator" "pacemaker" "ICD" "cardiac cath" “heart cath” “transthoracic” “angioplasty” “intracardiac” “generator” “lead” “appendage” “transcath” or “implant”? If Yes, return No and stop. If No return Yes and stop.