Find information on nonrheumatic aortic stenosis including clinical documentation, medical coding, and healthcare resources. This page covers details related to aortic valve stenosis, diagnosis codes (ICD-10), symptoms, treatment, and severe aortic stenosis management. Learn about the differences between rheumatic and nonrheumatic aortic stenosis, diagnostic criteria, and implications for patient care. Explore resources for healthcare professionals covering echocardiography findings, aortic valve replacement (AVR) considerations, and transcatheter aortic valve replacement (TAVR).
Also known as
Aortic valve stenosis
Narrowing of the aortic valve opening.
Mitral valve stenosis
Narrowing of the mitral valve, often rheumatic.
Rheumatic heart diseases
Heart conditions caused by rheumatic fever.
Heart failure
Heart's inability to pump blood effectively.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the aortic stenosis congenital?
Yes
Code as Q25.1 Congenital stenosis of aortic valve
No
Is it calcified?
When to use each related code
| Description |
|---|
| Nonrheumatic aortic stenosis |
| Bicuspid aortic valve |
| Aortic sclerosis |
Coding I70.0 without documenting the specific cause (e.g., congenital, degenerative, bicuspid) risks inaccurate severity and treatment reflection.
Documentation must support the stenosis severity (mild, moderate, severe). Mismatched coding impacts quality metrics and reimbursement.
Conditions like hypertension (I10) often coexist. Accurate coding of both is crucial for risk adjustment and optimal reimbursement.
Patient presents with symptoms suggestive of nonrheumatic aortic stenosis, including exertional dyspnea, angina pectoris, and syncope. Physical examination reveals a harsh systolic ejection murmur best heard at the right second intercostal space radiating to the carotids. Diminished and delayed carotid pulses are also noted. The patient's medical history includes hypertension and hyperlipidemia. Electrocardiogram shows left ventricular hypertrophy. Transthoracic echocardiogram confirms the diagnosis of nonrheumatic aortic stenosis, demonstrating a peak aortic valve velocity greater than 4.0 m/s, a mean aortic valve gradient greater than 40 mmHg, and a reduced aortic valve area. Assessment includes severe symptomatic nonrheumatic aortic valve stenosis. Differential diagnosis considered calcific aortic stenosis, congenital bicuspid aortic valve, and degenerative aortic valve disease. Plan includes discussion of aortic valve replacement surgery, optimal medical therapy for symptom management including diuretics for volume overload, and close follow-up to monitor disease progression. Patient education provided regarding the risks and benefits of aortic valve replacement and the importance of medication adherence. ICD-10 code I35.0, aortic valve stenosis, is documented. CPT codes for evaluation and management services will be determined based on the complexity of the encounter.