![]() I08.2 Rheumatic disorders of both aortic and tricuspid valves I08.1 Rheumatic disorders of both mitral and tricuspid valves I08.0 Rheumatic disorders of both mitral and aortic valves When multiple valves are diseased, we assume rheumatic disease and select codes from the following: I06.9 Rheumatic aortic valve disease, unspecified I06.8 Other rheumatic aortic valve diseases I06.2 Rheumatic aortic valve stenosis with insufficiency I06.1 Rheumatic aortic valve insufficiency When the aortic valve disease is documented as rheumatic, the codes are: I35.9 Nonrheumatic aortic valve disorder, unspecified I35.8 Other nonrheumatic aortic valve disorders I35.2 Nonrheumatic aortic (valve) stenosis with insufficiency I35.1 Nonrheumatic aortic (valve) insufficiency I35.0 Nonrheumatic aortic (valve) stenosis The most common ICD-10 codes for aortic valve disease are: Per ICD-10 Excludes 1 note, we are guided to code in the I08.x. If there is unspecified aortic valve disease with mitral and/or tricuspid valve involvement, the disease is assumed to be rheumatic. The disease is assumed to be nonrheumatic unless otherwise stated, but with a caveat. Additionally, the left ventricle can also be damaged, resulting in heart failure.Ĭoding for aortic valve disease requires the documentation of the type of disease. Symptoms of aortic insufficiency are basically the same as aortic stenosis. This lack of proper closure allows blood to leak back into the left ventricle, thus regurgitation. Think of pushing against a closed door eventually you will fatigue.Īortic valve insufficiency is when the valve leaflets don’t meet to form a seal after allowing the contents of the heart chamber to be expelled. Additionally, aortic stenosis can negatively impact the structure of the left ventricle causing it to lose efficiency which can lead to heart failure. Stenosis of the aortic valve can negatively impact the patient resulting in fatigue, shortness of breath and poor exercise tolerance. ![]() Stenosis of a heart valve is a narrowing of the valve opening, impeding the expulsion of the heart chamber contents. There are two main types of valve disease: stenosis and insufficiency. A common congenital defect of the aortic valve is a bicuspid valve, meaning there are only two leaflets. This valve is normally tricuspid, meaning there are three leaflets that control the release of blood associated with contraction of the heart chamber. It controls the exodus of blood from the left ventricle which then supplies the system. The most important valve is the aortic valve. They are, in the left heart, the mitral and aortic valves and in the right heart, the tricuspid and pulmonary valves. There are four valves in the heart that separate either the heart chambers from each other, or separate blood flow from heart blood flow.
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