It's actually time and pressure. The thing about altitude has to do with the temperature at which water boils with decreasing atmospheric pressure. Sea level standard pressure (~1013 millibars), pure water boils at 212F/100C. That boiling temperature goes down as your elevation goes up and the weight of a theoretical column of air goes down. In Denver (Mile High) water boils at 203F/95C. Conversely the boiling temperature of water goes up as pressure increases (as in a pressure cooker). That 15 lb. "equivalent" weight that rattles around on your pressure cooker has the effect of "raising" the pressure in your cooker by approximately 15 psi, thus raising the temperature at which water boils. In this case the boil point is raised to about 245F.
The objective here is to kill botulism spores that can multiply anaerobically in your Mason jar of wort and poison you. The temperature must reach around 240F for about 15 minutes to eliminate the nasties. So if you bath the jars in 245F for a sufficient period of time, mission accomplished. If you're pressure canning in Denver, you likely won't reach 245F water temperature in the pressure canner. No matter how much heat you apply to the outside of the canner, the water temperature will never exceed the boiling temperature of the water at your local atmospheric pressure. On the other hand, the temperature of the steam venting from the PRV on the canner is the difference between the inputted temperature from your 35,000 BTU burner and the boiling temperature of the water.
If you're cranking out 900F from your heat source and the boiling point of the water is 212F, the temperature of the steam is roughly 900F - 212F = 688F ('roughly', because there are losses due to latent heat of vaporization as well as absorption of heat energy by the canner itself, just to mention a few). So if you're pressure canning in Denver on a stormy day when the barometric pressure may only be 995 mb, the botulism spores will likely survive, and you may not.
Brooo Brother