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Diagnosis-Patient has aortic

  1. #1
    Default Diagnosis-Patient has aortic
    Medical Coding Books
    Patient has aortic valve stenosis and mitral valve regurg.... what icd9 do i use? i'm having a brain fart...

  2. #2
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    396.3

    what do you think??

    hmmm maybe not...once sec

    how about 396.8?? I think that's a better one
    Last edited by dmaec; 09-19-2008 at 02:43 PM.
    Donna, CPC, CPC-H

  3. #3
    Location
    Milwaukee WI
    Posts
    4,466
    Default 396.82
    If you look them up individually you find that Mitral Valve Regurg is "see also insufficiency"
    Then Mitral Valve Insufficiency with Aortic stenosis is coded as 396.2.

    This is not my area of expertise, but I enjoyed the learning experience of looking this up!

    F Tessa Bartels, CPC, CPC-E/M
    Last edited by FTessaBartels; 09-19-2008 at 05:37 PM.

  4. #4
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    Tessa - I don't see a 396.82...?? only 396.8....
    and yeah - it was interesting looking them up and coming to the conclusion....
    Donna, CPC, CPC-H

  5. #5
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    I think she meant 396.2
    Lisa Bledsoe, CPC, CPMA

  6. #6
    Default
    well .. that was FUN!

    Cardio diagnosis coding is not my expertise by far .. it takes me forever because there are so many combo codes and so many things called the same thing different ways ...

    Mitral regurgitation is also called 'insufficiency' - so according to the article below:
    http://www.fortherecordmag.com/archi...12006p34.shtml

    Mitral regurg w/ aortic valve stenosis would be coded as 396.2

    THANKS guys for the help!

  7. Default
    Quote Originally Posted by ARCPC9491 View Post
    well .. that was FUN!

    Cardio diagnosis coding is not my expertise by far .. it takes me forever because there are so many combo codes and so many things called the same thing different ways ...

    Mitral regurgitation is also called 'insufficiency' - so according to the article below:
    http://www.fortherecordmag.com/archi...12006p34.shtml

    Mitral regurg w/ aortic valve stenosis would be coded as 396.2

    THANKS guys for the help!
    Hi,
    Your code selection for Mitral valve insufficiency cum aortic valve stenosis is right. I appreciate it. I know not much, too. But, if I can suggest a bit hoping that no one will not mistake,
    1. One can code mital valve insufficiency in a patient, with a known history of mitral valve disorders, prominently a regurgitation due to valvular defects.
    This is because, regurtation cannot be present continuously. May be during the current encounter the coarse sounds of regurgitation were mild to ascultation.
    But the vice versa should not be done. As, coding only mitral valve insufficiency will not be sufficient in issues of severe mitral valve disorders like prolapse.

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