ICD-10 Coding for Status Post TAVR(Z95.2, I35.0)
Complete ICD-10-CM coding and documentation guide for Status Post TAVR. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Status Post TAVR
Z95-Z99Primary Range
Persons with potential health hazards related to family and personal history and certain conditions influencing health status
Z95.2 is used to indicate the presence of a prosthetic heart valve, which is relevant for patients post-TAVR.
Nonrheumatic aortic valve disorders
I35.0 is used for nonrheumatic aortic stenosis, relevant when managing residual stenosis post-TAVR.
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 visits post-TAVR when no complications are present. |
|
| I35.0 | Nonrheumatic aortic (valve) stenosis | Use when managing residual aortic stenosis post-TAVR. |
|
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 status post TAVR
Essential facts and insights about Status Post TAVR
Primary ICD-10-CM Codes for status post tavr
Decision Criteria
clinical Criteria
- Patient has undergone TAVR and is in follow-up care.
Applicable To
- Status post TAVR
Excludes
- Complications of prosthetic heart valve (T82.8-)
Clinical Validation Requirements
- Documentation of prosthetic valve presence
- Follow-up post-TAVR procedure
Code-Specific Risks
- Incorrectly using Z95.2 for complications
Coding Notes
- Ensure documentation clearly states the presence of a prosthetic valve.
I35.0 - Nonrheumatic aortic (valve) stenosis
Use when managing residual aortic stenosis post-TAVR.
Applicable To
- Aortic stenosis post-TAVR
Excludes
- Rheumatic aortic stenosis (I06.0)
Clinical Validation Requirements
- Echocardiogram showing stenosis
- Clinical symptoms of aortic stenosis
Coding Notes
Ensure echocardiogram results support the diagnosis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for examination for normal comparison and control in clinical research program
Z00.6Differential 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 Status Post TAVR 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 representation of patient involvement in trials., Regulatory: Non-compliance with CMS requirements., Financial: Potential denial of claims related to trial participation.
Mitigation Strategy
Verify registry participation in documentation., Include Z00.6 in coding.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Add I35.0 if managing residual stenosis with valve gradient.
Impact
Failure to document registry participation can lead to audit issues.
Mitigation Strategy
Ensure all registry details are documented and coded.
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 Status Post TAVR, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Status Post TAVR
Use these documentation templates to ensure complete and accurate documentation for Status Post TAVR. These templates include all required elements for proper coding and billing.
Routine follow-up post-TAVR
Specialty: CardiologyRequired Elements
- Prosthetic valve type and size
- Echocardiogram results
- Registry participation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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