tci ED Coding & Reimbursement Alert - 2007 Issue 5

READER QUESTIONS: Choose Single ICD-9 Code to Represent Aortic/Mitral Value Condition

Question: Our ED physician conducted a 12-lead electrocardiogram (EKG) on a patient diagnosed with stenosis in the aortic and mitral valves. What would be the correct coding for this scenario? Specifically, how many ICD-9 codes should I report for the patient?Arkansas Subscriber Answer: You-ll use one diagnosis code to represent the stenosis in both valves. When patients have stenosis (or another affliction) in the mitral and aortic valves, you should choose a code from the 396.x series (Diseases of mitral and aortic valves) to identify both conditions.Aortic stenosis does have its own ICD-9 code, 424.1...

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