ICD-10 Coding for Mitral Valve Prolapse(I34.1)
Complete ICD-10-CM coding and documentation guide for Mitral Valve Prolapse. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Mitral Valve Prolapse
I34-I38Primary Range
Nonrheumatic mitral valve disorders
This range includes codes for nonrheumatic mitral valve conditions, including prolapse and insufficiency.
Congenital mitral valve anomalies
Used for congenital mitral valve conditions, which must be differentiated from acquired forms.
Key Information: ICD-10 code for mitral valve prolapse
Essential facts and insights about Mitral Valve Prolapse
Primary ICD-10-CM Code for mitral valve prolapse
Decision Criteria
clinical Criteria
- Echocardiography confirming ≥2 mm leaflet displacement
documentation Criteria
- Explicit mention of nonrheumatic etiology
Applicable To
- Mitral valve prolapse without regurgitation
Clinical Validation Requirements
- Echocardiography showing ≥2 mm leaflet displacement
- Auscultation revealing mid-systolic click
Code-Specific Risks
- Confusing with rheumatic or congenital conditions
- Omitting associated conditions like mitral regurgitation
Coding Notes
- Ensure documentation specifies nonrheumatic origin and echocardiographic findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Nonrheumatic mitral insufficiency
I34.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Mitral Valve Prolapse to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I34.1.
Impact
Clinical: Leads to potential misdiagnosis., Regulatory: Non-compliance with ICD-10 coding rules., Financial: May result in claim denials.
Mitigation Strategy
Always specify etiology in documentation, Review echocardiogram reports for confirmation
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data and statistics.
Mitigation Strategy
Always confirm MVP with echocardiography before coding.
Impact
Coding MVP without echocardiographic evidence increases audit risk.
Mitigation Strategy
Ensure all MVP diagnoses are supported by echocardiogram reports.
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 Mitral Valve Prolapse, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Mitral Valve Prolapse
Use these documentation templates to ensure complete and accurate documentation for Mitral Valve Prolapse. These templates include all required elements for proper coding and billing.
Initial diagnosis of MVP
Specialty: CardiologyRequired Elements
- Patient history
- Physical examination findings
- Echocardiogram results
- Diagnosis confirmation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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