ICD-10 Coding for Aortic Valve Endocarditis(I01.1, I33.0, T82.6XXA)
Complete ICD-10-CM coding and documentation guide for Aortic Valve Endocarditis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Aortic Valve Endocarditis
I33-I35Primary Range
Diseases of the aortic valve, including endocarditis
This range includes codes for both rheumatic and non-rheumatic aortic valve endocarditis.
Infection and inflammatory reaction due to cardiac valve prosthesis
Relevant for prosthetic valve endocarditis, including post-TAVR complications.
Bacterial and viral infectious agents
Used to identify the specific organism causing the endocarditis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I01.1 | Acute rheumatic endocarditis | Use when endocarditis is confirmed to be rheumatic in origin. |
|
| I33.0 | Acute and subacute infective endocarditis | Use for non-rheumatic infective endocarditis of the aortic valve. |
|
| T82.6XXA | Infection and inflammatory reaction due to cardiac valve prosthesis, initial encounter | Use for infections related to prosthetic aortic valves. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for aortic valve endocarditis
Essential facts and insights about Aortic Valve Endocarditis
Primary ICD-10-CM Codes for aortic valve endocarditis
Decision Criteria
clinical Criteria
- Presence of rheumatic fever symptoms and positive ASO titer
Applicable To
- Rheumatic fever with endocarditis
Excludes
- Non-rheumatic endocarditis
Clinical Validation Requirements
- ASO titer elevation
- Evidence of recent streptococcal infection
Code-Specific Risks
- Misclassification if rheumatic etiology is not confirmed
Coding Notes
- Ensure documentation specifies rheumatic origin.
I33.0 - Acute and subacute infective endocarditis
Use for non-rheumatic infective endocarditis of the aortic valve.
Applicable To
- Infective endocarditis of native aortic valve
Excludes
- Rheumatic endocarditis
Clinical Validation Requirements
- Positive blood cultures
- Echocardiographic evidence of vegetations
Coding Notes
Document specific valve involvement and organism.
T82.6XXA - Infection and inflammatory reaction due to cardiac valve prosthesis, initial encounter
Use for infections related to prosthetic aortic valves.
Applicable To
- Prosthetic valve endocarditis
Excludes
- Infection of native valve
Clinical Validation Requirements
- Evidence of infection on prosthetic valve
- Positive imaging findings
Coding Notes
Ensure documentation specifies prosthetic valve involvement.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Aortic Valve Endocarditis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I01.1.
Impact
Clinical: Incomplete clinical picture, Regulatory: Non-compliance with coding guidelines, Financial: Potential loss of reimbursement
Mitigation Strategy
Always include B95-B97 codes when organism is identified
Impact
Reimbursement: Incorrect DRG assignment leading to reimbursement issues, Compliance: Potential audit flags due to coding inconsistencies, Data Quality: Compromised data integrity affecting clinical outcomes
Mitigation Strategy
Ensure clear documentation of etiology before coding.
Impact
Incorrect use of T82.6XXA without supporting documentation
Mitigation Strategy
Ensure thorough documentation of prosthetic valve involvement and infection.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Aortic Valve Endocarditis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Aortic Valve Endocarditis
Use these documentation templates to ensure complete and accurate documentation for Aortic Valve Endocarditis. These templates include all required elements for proper coding and billing.
Native Aortic Valve Endocarditis
Specialty: CardiologyRequired Elements
- Echocardiographic findings
- Blood culture results
- Clinical symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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