kcolum81
Networker
Can anyone give me a detailed explanation of the difference between rheumatic and non-rheumatic valve disease, please? Examples would be super helpful as well if possible. Thank you in advance.
Our providers have told us this as well. Our facility developed an internal policy addressing the coding of valvular heart disease that states if the documentation does not specify rheumatic/non-rheumatic, then the default code is for non-rheumatic. Our providers also document rheumatic valve disease when it is pertinent.Our provider says that non rheumatic valve diseases occurs in 95% of our cases. So when he dictates e.g. aortic valve regurgitation we code it as I35.1 (non rheumatic aortic valve insufficiency). He will dictate rheumatic valve disease if it is rheumatic. Thats how he was taught in fellowship training.
This is very helpful, thank youThis may help.
yet icd-10-cm assumes rheumatic as default. kinda confusingOur provider says that non rheumatic valve diseases occurs in 95% of our cases. So when he dictates e.g. aortic valve regurgitation we code it as I35.1 (non rheumatic aortic valve insufficiency). He will dictate rheumatic valve disease if it is rheumatic. Thats how he was taught in fellowship training.