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Home/Diagnosis/ICD-10 Coding for Valve Replacement

ICD-10 Coding for Valve Replacement

Z95.2
T82.03XA

Complete ICD-10-CM coding and documentation guide for icd-10 coding for valve replacement includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Heart Valve Surgery
Cardiac Valve Replacement
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Key Information: ICD-10 Coding for Valve Replacement

Essential facts and insights about ICD-10 Coding for Valve Replacement

Use ICD-10 code Z95.2 for presence of prosthetic heart valve, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Presence of prosthetic heart valve

Billable Code
Z95.2
Billable

Diagnostic Criteria

clinical:
  • • Patient has a prosthetic valve with no current complications.

Applicable To

  • • Status post valve replacement

Important Notes

  • • Ensure documentation supports the presence of the prosthetic valve without complications.

Leakage of heart valve prosthesis, initial encounter

Billable Code
T82.03XA
Billable

Diagnostic Criteria

clinical:
  • • TEE showing paravalvular regurgitation
  • • Elevated NT-proBNP levels

Applicable To

  • • Paravalvular leak

Important Notes

  • • Ensure documentation specifies the type and location of the leak.
Ancillary Codes

Additional codes that may be used with this diagnosis

I35.0

Nonrheumatic aortic (valve) stenosis

Use to document the underlying condition that led to valve replacement.

Frequently Asked Questions

What is the ICD-10 code for valve replacement?

The ICD-10 code for the presence of a prosthetic heart valve is Z95.2. Use T82.03XA for complications like leakage.

How do you code a leaking prosthetic valve?

For a leaking prosthetic valve, use ICD-10 code T82.03XA, which specifies leakage of a heart valve prosthesis.

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