AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2025 Issue 1; Ask the Editor

Mitral Valve Regurgitation with Stenosis of Bioprosthetic Aortic Valve

A 59-year-old patient with a history of aortic valve stenosis, status post bioprosthetic aortic valve replacement, is admitted due to persistent fatigue, chills, night sweats, and abnormal labs. Cardiac workup revealed bioprosthetic valve endocarditis, moderate stenosis of the bioprosthetic aortic valve and moderate mitral regurgitation. ICD-10-CM classifies unspecified multiple valve disease as a rheumatic disorders. Would mitral valve regurgitation and stenosis of the prosthetic aortic valve, be assigned a code from category I08, Multiple valve diseases? What are the appropriate code assignments for mitral valve regurgitation in a patient with stenosis of a bioprosthetic aortic valve? ...

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