Billable Medical Code for Aortic Valve Disorders Diagnosis Code for Reimbursement Claim: ICD-9-CM 424.1. Code will be replaced by October 2015 and relabeled as ICD-10-CM 424.1. The Short Description Is: Aortic valve disorder. Known As
Short description: Aortic valve disorder. ICD-9-CM 424.1 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 424.1 should only be used for claims with a date of service on or before September 30, 2015.
insufficiency or incompetence 396.2. stenosis or obstruction 396.0. specified cause, except rheumatic 424.1. syphilitic 093.22. 395. ICD9Data.com. 395.1. ICD-9-CM codes are used in medical billing and coding to describe diseases, injuries, symptoms and conditions.
Billable Thru Sept 30/2015. Non-Billable On/After Oct 1/2015. Short description: Aortic atresia/stenosis. ICD-9-CM 747.22 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 747.22 should only be used for claims with a date of service on or before September 30, 2015.
A pathological constriction that can occur above (supravalvular stenosis), below (subvalvular stenosis), or at the aortic valve. It is characterized by restricted outflow from the left ventricle into the aorta.
The 2022 edition of ICD-10-CM I35.0 became effective on October 1, 2021.
Aortic stenosis ( AS or AoS) is the narrowing of the exit of the left ventricle of the heart (where the aorta begins), such that problems result. It may occur at the aortic valve as well as above and below this level. It typically gets worse over time. Symptoms often come on gradually with a decreased ability to exercise often occurring first.
Aortic stenosis is most often diagnosed when it is asymptomatic and can sometimes be detected during routine examination of the heart and circulatory system. Good evidence exists to demonstrate that certain characteristics of the peripheral pulse can rule in the diagnosis. In particular, there may be a slow and/or sustained upstroke of the arterial pulse, and the pulse may be of low volume. This is sometimes referred to as pulsus parvus et tardus. There may also be a noticeable delay between the first heart sound (on auscultation) and the corresponding pulse in the carotid artery (so-called 'apical-carotid delay'). In a similar manner, there may be a delay between the appearance of each pulse in the brachial artery (in the arm) and the radial artery (in the wrist).
Aortic stenosis is the most common valvular heart disease in the developed world. It affects about 2% of people who are over 65 years of age. Estimated rates were not known in most of the developing world as of 2014. In those who have symptoms, without repair the chance of death at five years is about 50% and at 10 years is about 90%. Aortic stenosis was first described by French physician Lazare Rivière in 1663.
When a person with aortic stenosis exercises, their peripheral vascular resistance will decrease as the blood vessels of the skeletal muscles dilate to allow the muscles to receive more blood to allow them to do more work. This decrease in peripheral vascular resistance is normally compensated for by an increase in the cardiac output. Since people with severe AS cannot increase their cardiac output, the blood pressure falls and the person will faint due to decreased blood perfusion to the brain.
The human aortic valve normally consists of three cusps or leaflets and has an opening of 3.0-4.0 square centimeters. When the left ventricle contracts, it forces blood through the valve into the aorta and subsequently to the rest of the body. When the left ventricle expands again, the aortic valve closes and prevents the blood in the aorta from flowing backward ( regurgitation) into the left ventricle. In aortic stenosis, the opening of the aortic valve becomes narrowed or constricted ( stenotic) (e.g., due to calcification). Degenerative (the most common variety), and bicuspid aortic stenosis both begin with damage to endothelial cells from increased mechanical stress. Inflammation is thought to be involved in the earlier stages of the pathogenesis of AS and its associated risk factors are known to promote the deposition of LDL cholesterol and lipoprotein (a), a highly damaging substance, into the aortic valve, causing significant damage and stenosis over time.
A bicuspid aortic valve affects about one to two percent of the population. As of 2014 rheumatic heart disease mostly occurs in the developing world.
The aortic valve area can be calculated non-invasively using echocardiographic flow velocities. Using the velocity of the blood through the valve, the pressure gradient across the valve can be calculated by the continuity equation or using the modified Bernoulli's equation: