Find comprehensive information on valve replacement diagnosis, including aortic valve replacement, mitral valve replacement, TAVR, TMVR, valve repair, and prosthetic valve endocarditis. This resource covers clinical documentation requirements, ICD-10 codes (Z95.1, Z95.2, and related codes), medical coding guidelines, and postoperative care for healthcare professionals. Learn about the diagnostic process, treatment options, and long-term management of valve disease requiring valve replacement.
Also known as
Replacement of heart valve
Codes for replacing a heart valve with a prosthetic valve.
Presence of cardiac and vascular implants
Indicates presence of implanted devices, including heart valves.
Nonrheumatic valvular diseases
Covers conditions often leading to valve replacement.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the valve replacement biological?
Yes
Which valve?
No
Is it mechanical?
When to use each related code
Description |
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Valve Replacement |
Valve Repair |
Transcatheter Aortic Valve Replacement (TAVR) |
Lack of documentation specifying the type of valve (mechanical, tissue, transcatheter) impacting code selection and reimbursement.
Incorrect coding for the approach (open, minimally invasive) or additional procedures like root replacement leading to claim denials.
Insufficient documentation of coexisting conditions affecting patient severity and accurate DRG assignment for appropriate reimbursement.
Patient presents for evaluation and management of symptomatic valvular heart disease requiring valve replacement surgery. Presenting symptoms include [Specific symptoms e.g., dyspnea, chest pain, syncope, fatigue], impacting the patient's functional capacity and quality of life. Physical examination reveals [Specific findings e.g., murmur, edema, jugular venous distension]. Diagnostic workup including echocardiography demonstrates [Specific echocardiographic findings e.g., severe aortic stenosis, mitral regurgitation] confirming the need for valve replacement. The patient's medical history includes [Relevant comorbidities e.g., hypertension, diabetes, coronary artery disease] and previous cardiac interventions [List prior interventions if any]. Risks and benefits of surgical valve replacement including bioprosthetic valve vs. mechanical valve options were thoroughly discussed with the patient. The patient understands the need for lifelong anticoagulation therapy if a mechanical valve is selected. Aortic valve replacement, mitral valve replacement, transcatheter aortic valve replacement (TAVR), and minimally invasive valve surgery were considered. After careful consideration of the patient's clinical presentation, comorbidities, and preferences, a treatment plan for [Specific valve replacement procedure e.g., surgical aortic valve replacement with a bioprosthetic valve] was developed. The patient was deemed a suitable candidate for surgery and scheduled for the procedure. Postoperative care will include cardiac rehabilitation and close monitoring for complications such as bleeding, infection, and thromboembolism. Patient education regarding medication management, follow-up appointments, and lifestyle modifications was provided.