ICD-10 Coding for Mitral Annular Calcification(I34.81, I34.0)
Complete ICD-10-CM coding and documentation guide for Mitral Annular Calcification. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Mitral Annular Calcification
I34-I38Primary Range
Nonrheumatic mitral valve disorders
This range includes all nonrheumatic mitral valve disorders, with I34.81 specifically for mitral annular calcification.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I34.81 | Nonrheumatic mitral valve annulus calcification | Use when there is documented nonrheumatic calcification of the mitral valve annulus. |
|
| I34.0 | Nonrheumatic mitral (valve) insufficiency | Use when mitral regurgitation is present alongside MAC. |
|
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 mitral annular calcification
Essential facts and insights about Mitral Annular Calcification
Primary ICD-10-CM Codes for mitral annular calcification
Decision Criteria
clinical Criteria
- Imaging evidence of calcification at the mitral annulus
documentation Criteria
- Explicit mention of nonrheumatic etiology
Applicable To
- Mitral annular calcification
Excludes
- Rheumatic mitral valve disorders (I05.-)
Clinical Validation Requirements
- Imaging-confirmed annular calcification via echocardiography or cardiac CT
- Documentation of nonrheumatic etiology
Code-Specific Risks
- Confusing with rheumatic mitral valve disease
- Not specifying the annular location
Coding Notes
- Ensure documentation specifies 'nonrheumatic' and 'annular' to avoid confusion with other mitral valve disorders.
I34.0 - Nonrheumatic mitral (valve) insufficiency
Use when mitral regurgitation is present alongside MAC.
Applicable To
- Mitral regurgitation
Excludes
- Rheumatic mitral valve disorders (I05.-)
Clinical Validation Requirements
- Doppler echocardiography confirming mitral regurgitation
Coding Notes
Ensure regurgitation is linked to nonrheumatic causes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Mitral Annular Calcification to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I34.81.
Impact
Clinical: Potential misdiagnosis of the condition., Regulatory: Non-compliance with coding standards., Financial: Possible claim denials due to incorrect coding.
Mitigation Strategy
Educate clinicians on the importance of specifying 'annular'., Use templates that prompt for specific anatomical details.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure documentation specifies 'nonrheumatic' and 'annular'.
Impact
Lack of specificity in documentation can lead to incorrect coding.
Mitigation Strategy
Ensure thorough documentation of the nonrheumatic nature and specific location of calcification.
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 Annular Calcification, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Mitral Annular Calcification
Use these documentation templates to ensure complete and accurate documentation for Mitral Annular Calcification. These templates include all required elements for proper coding and billing.
Cardiology Progress Note
Specialty: CardiologyRequired Elements
- Patient history
- Imaging findings
- Comorbid conditions
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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