Evalve® Cardiovascular Repair System

What is the appropriate procedure code assignment for the Evalve® Cardiovascular Repair System also called the MitraClip® system? We have been informed that code 35.24, Other replacement of mitral valve or code 35.99, Other operations on valves of heart, should be used since the MitraClip® system allows interventional cardiologists to reconstruct the mitral valve on a beating heart without cardiopulmonary bypass. They stated that code 35.96, Percutaneous valvuloplasty, does not capture the complexity of this procedure since simple balloon dilation is used only for patients with mitral stenosis and is not applicable to patients with mitral regurgitation. ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article addresses a procedure coding question involving the Evalve® Cardiovascular Repair System, also known as the MitraClip® system. It explains the coding issue in broad terms, including how the procedure is categorized within heart-valve procedure code sets and why the question matters for accurate inpatient or procedural coding. The content is intended for coders and other revenue cycle professionals working with cardiovascular procedures and code selection guidance.

Why This Topic Matters

Accurate procedure code assignment for transcatheter mitral valve repair affects clinical documentation translation, claim integrity, and consistency in cardiovascular coding.

What You Will Learn

  • How this cardiovascular repair system is discussed from a coding perspective.
  • Which broad procedure code categories are being considered for the service.
  • Why the coding question arises in relation to mitral valve procedures.
  • Who should review this type of procedural coding guidance.

Who Should Read This

  • Medical coders
  • Inpatient coders
  • Cardiovascular coding specialists
  • Revenue cycle professionals
  • Clinical documentation staff

Codes Discussed


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