AHA Coding Clinic® for ICD-9 - 2008 Issue 2; Ask the Editor

End of Life of Heart Valve Prosthesis

The patient was admitted due to end of life of the heart valve prosthesis. The cardiothoracic surgeon documents “prosthetic valve stenosis due to end of life.” In ICD-9-CM, the index directs to code 996.71, Other complications of internal (biological) (synthetic) prosthetic device, implant, and graft, Due to heart valve prosthesis, for prosthetic valve stenosis. However, the surgeon does not agree with this code assignment. He stated that the patient’s heart valve prosthesis was placed 19 years ago and has reached its end of life, which is an expected outcome, not a complication. How should end of life of the heart valve prosthesis be coded? ...

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