2025 ICD-10-CM code I35.0
Nonrheumatic aortic (valve) stenosis.
Medical necessity is established by the documented symptoms, diagnostic findings confirming aortic stenosis, and its impact on the patient's functional status.For example, if the stenosis is severe and causing symptoms that limit daily activities, procedures like TAVR or surgical valve replacement become medically necessary.
Diagnosis and treatment are typically managed by cardiologists.They will assess the severity of the stenosis and determine the appropriate course of action, which may include medication, surgical valve replacement, or minimally invasive procedures like transcatheter aortic valve replacement (TAVR).
In simple words: Aortic valve stenosis is the narrowing of the heart's aortic valve, which restricts blood flow.This specific type is not caused by rheumatic fever.
Narrowing of the aortic valve that is not caused by rheumatic fever. This narrowing obstructs blood flow from the left ventricle to the aorta, the main artery that carries blood to the body.
Example 1: A 75-year-old patient presents with shortness of breath, chest pain, and syncope.Upon examination, a heart murmur is detected.An echocardiogram reveals significant narrowing of the aortic valve, confirming the diagnosis of nonrheumatic aortic valve stenosis.Due to the severity of the stenosis, the patient undergoes TAVR., A 50-year-old patient with a history of congenital bicuspid aortic valve experiences progressive shortness of breath.Diagnostic testing reveals moderate aortic stenosis.The patient is managed with medication and regular monitoring of the progression of stenosis., During a routine physical, a 60-year-old patient is found to have a mild aortic valve stenosis.The patient is asymptomatic and no intervention is required at this time. However, regular monitoring and follow-up are recommended.
Documentation should include details like the severity of the stenosis (mild, moderate, severe), symptoms experienced by the patient (e.g., shortness of breath, chest pain, syncope), diagnostic test results (e.g., echocardiogram, cardiac catheterization), and any procedures performed (e.g., TAVR, surgical valve replacement). Any underlying conditions, such as congenital bicuspid aortic valve, should also be documented.
- Payment Status: Active
- Specialties:Cardiology, Cardiothoracic Surgery
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital,Ambulatory Surgical Center, Physician's Office