ICD-10 Coding for Prosthetic Aortic Valve(Z95.2, T82.867A)
Complete ICD-10-CM coding and documentation guide for Prosthetic Aortic Valve. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Prosthetic Aortic Valve
Z95.2Primary Range
Presence of prosthetic heart valve
Used for documenting the presence of a prosthetic aortic valve without complications.
Complications of cardiac and vascular prosthetic devices, implants and grafts
Used for documenting complications related to the prosthetic aortic valve.
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 documenting the presence of a prosthetic aortic valve without any complications. |
|
| T82.867A | Thrombosis of cardiac prosthetic devices, implants and grafts, initial encounter | Use when there is documented thrombosis of the prosthetic aortic 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 prosthetic aortic valve
Essential facts and insights about Prosthetic Aortic Valve
Primary ICD-10-CM Codes for prosthetic aortic valve
Decision Criteria
clinical Criteria
- Presence of a prosthetic aortic valve without complications
Applicable To
- Presence of prosthetic aortic valve
Clinical Validation Requirements
- Documentation of the type and model of the prosthetic valve
- Absence of complications
Code-Specific Risks
- Incorrectly using this code when complications are present
Coding Notes
- Ensure no complications are present when using Z95.2.
T82.867A - Thrombosis of cardiac prosthetic devices, implants and grafts, initial encounter
Use when there is documented thrombosis of the prosthetic aortic valve.
Applicable To
- Thrombosis of prosthetic aortic valve
Excludes
- Presence of prosthetic heart valve without complication (Z95.2)
Clinical Validation Requirements
- Imaging evidence of thrombosis
- Clinical symptoms such as syncope or embolic events
Coding Notes
Ensure to document the specific type of complication.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Prosthetic 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: Inadequate clinical information for future care., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient detail.
Mitigation Strategy
Use templates to ensure all details are captured, Train staff on documentation standards
Impact
Reimbursement: Incorrect sequencing can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always sequence complication codes (T82) before Z95.2 when both apply.
Impact
Risk of incorrect coding for valve complications.
Mitigation Strategy
Regular audits and training on complication coding.
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 Prosthetic Aortic Valve, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Prosthetic Aortic Valve
Use these documentation templates to ensure complete and accurate documentation for Prosthetic Aortic Valve. These templates include all required elements for proper coding and billing.
Routine Follow-Up for Prosthetic Aortic Valve
Specialty: CardiologyRequired Elements
- Valve type and model
- Echocardiogram results
- Anticoagulation status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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