AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 4; New/Revised ICD-10-CM Codes
Transapical Mitral Valve Repair with Device
In table 02U, Heart and Great Vessel, Supplement, the qualifier value H Transapical has been added for the body part value Mitral Valve, the percutaneous approach, and device value J Synthetic Substitute. The procedure is performed on a beating heart, under trans-esophageal echocardiography via a transapical approach, with placement of a permanent synthetic device that reinforces the chordae tendineae and prolapsed posterior leaflet to correct for mitral regurgitation. This change will identify mitral valve repairs involving placement of a device to augment or reinforce valve function, using a transapical approach. For example, assign code 02UG3JH, Supplement mitral valve with...
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Article Overview
This premium coding article discusses an ICD-10-PCS change involving transapical mitral valve repair with device placement. It is aimed at medical coders, CDI professionals, and reimbursement staff who need to understand the updated procedure classification and related table structure. The article covers the relevant body part, approach, device, and qualifier fields, along with a representative procedure example.
Why This Topic Matters
Procedure coding updates can affect accurate reporting of cardiac valve repair services and support consistent use of the ICD-10-PCS system. Understanding the change helps coding professionals recognize how this type of transcatheter repair is represented in the official procedure table.
What You Will Learn
- How the ICD-10-PCS update relates to transapical mitral valve repair
- Which procedure table elements are involved in the classification change
- How the article frames the procedure within the broader cardiac coding system
- What type of professional guidance the update provides for coders and related staff
Who Should Read This
- Medical coders
- Clinical documentation integrity specialists
- Reimbursement professionals
- Revenue cycle staff
- Cardiology coding teams
Codes Discussed
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