ICD-10 Coding for Artificial Aortic Valve(Z95.2, T82.03XA)
Complete ICD-10-CM coding and documentation guide for Artificial Aortic Valve. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Artificial Aortic Valve
Z95.2Primary Range
Presence of prosthetic heart valve
This code is used to indicate the presence of a prosthetic heart valve, specifically an artificial aortic valve.
Complications of cardiac and vascular prosthetic devices, implants and grafts
These codes are used to document complications related to prosthetic heart valves, such as leakage or infection.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z95.2 | Presence of prosthetic heart valve | Use for routine follow-up of patients with a prosthetic aortic valve without complications. |
|
| T82.03XA | Leakage of prosthetic heart valve, initial encounter | Use when there is a documented leakage of the prosthetic valve. |
|
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 artificial aortic valve
Essential facts and insights about Artificial Aortic Valve
Primary ICD-10-CM Codes for artificial aortic valve
Decision Criteria
clinical Criteria
- Patient has a confirmed prosthetic aortic valve without complications.
Applicable To
- Artificial aortic valve
- Prosthetic aortic valve
Clinical Validation Requirements
- Operative report confirming valve replacement
- Echocardiogram showing prosthetic valve
Code-Specific Risks
- Ensure linkage to current clinical condition to avoid misuse.
Coding Notes
- Z95.2 should not be used alone if complications are present.
T82.03XA - Leakage of prosthetic heart valve, initial encounter
Use when there is a documented leakage of the prosthetic valve.
Applicable To
- Paravalvular leak
Excludes
- Infection of prosthetic heart valve (T82.6XXA)
Clinical Validation Requirements
- Echocardiogram showing leakage
- Clinical symptoms such as dyspnea
Coding Notes
Document the type of leakage and any associated symptoms.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Leakage of prosthetic heart valve, initial encounter
T82.03XADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Artificial Aortic Valve to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z95.2.
Impact
Clinical: Inaccurate patient records., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Use templates that prompt for valve details., Regular audits of operative reports.
Impact
Reimbursement: May lead to denied claims if not properly linked., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Always pair Z95.2 with a relevant clinical condition or complication code.
Impact
Failure to document valve type can lead to audit issues.
Mitigation Strategy
Implement mandatory fields in EHR for valve details.
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 Artificial Aortic Valve, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Artificial Aortic Valve
Use these documentation templates to ensure complete and accurate documentation for Artificial Aortic Valve. These templates include all required elements for proper coding and billing.
Post-TAVR Follow-Up
Specialty: CardiologyRequired Elements
- Valve type and size
- Access approach
- Echocardiogram results
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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