ICD-10 Coding for Mitral Valve Repair(Z95.2, Z98.890)
Complete ICD-10-CM coding and documentation guide for Mitral Valve Repair. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Mitral Valve Repair
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 when a prosthetic device is used in the repair. |
|
| Z98.890 | Other specified postprocedural states | Use when no prosthetic device remains post-repair. |
|
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 valve repair
Essential facts and insights about Mitral Valve Repair
Primary ICD-10-CM Codes for mitral valve repair
Decision Criteria
clinical Criteria
- Presence of prosthetic material in mitral valve repair.
Applicable To
- Prosthetic mitral valve
Excludes
- Biological valve (Z95.3)
Clinical Validation Requirements
- Documentation of prosthetic material, e.g., annuloplasty ring.
Code-Specific Risks
- Incorrectly coding biological valves as prosthetic.
Coding Notes
- Ensure documentation specifies the type of prosthetic used.
Z98.890 - Other specified postprocedural states
Use when no prosthetic device remains post-repair.
Applicable To
- Postprocedural state without prosthetic device
Excludes
- Presence of prosthetic valve (Z95.2)
Clinical Validation Requirements
- Repair documented without prosthetic device.
Coding Notes
Verify absence of prosthetic device in documentation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Nonrheumatic mitral (valve) insufficiency
I34.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Mitral Valve Repair to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z95.2.
Impact
Clinical: Misrepresentation of surgical procedure., Regulatory: Potential audit failure., Financial: Delayed or denied reimbursement.
Mitigation Strategy
Ensure detailed operative notes.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with CMS guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use Z95.3 for xenogenic implants.
Impact
Incorrect coding of prosthetic devices can lead to audits.
Mitigation Strategy
Verify prosthetic details in surgical notes.
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 Repair, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Mitral Valve Repair
Use these documentation templates to ensure complete and accurate documentation for Mitral Valve Repair. These templates include all required elements for proper coding and billing.
Open Mitral Valve Repair
Specialty: Cardiothoracic SurgeryRequired Elements
- Procedure details
- Type of repair
- Prosthetic details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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