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v1.0.0
ICD-10 Guide
DiagnosesMechanical Valve

Mechanical Valve

ICD-10 Coding for Mechanical Valve Complications(T82.0XXA, Z95.2)

PRIMARY SPECIALTYCardiology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Mechanical Valve?
Essential facts and insights about Mechanical Valve Complications

Key Clinical Considerations:

  • Symptoms of heart failure (e.g., dyspnea, fatigue)
  • Echocardiogram showing valve function and structure
  • Murmurs or abnormal heart sounds on auscultation

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including prior valve surgery
  • Details of valve type and function
  • Echocardiogram and other imaging results

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for coding valve replacements versus repairs.
  • Common errors include misclassifying valve types.

Code Exclusions

Important Exclusions

  • Bioprosthetic valve conditions
  • Congenital heart defects

Related ICD-10 Codes

Primary Codes
Z95.2
Presence of mechanical heart valve
Ancillary Codes
I34.1
I35.0
Differential Codes
T82.22XA

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Cardiology

Specialty Applications

  • Patients with mechanical heart valves
  • Cardiology clinics and hospitals

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Document the type of mechanical valve, any complications, and patient symptoms.

What are the billing considerations?

Ensure accurate coding of valve type and any associated conditions for reimbursement.