2025 ICD-10-CM code T82.6
Infection and inflammatory reaction due to cardiac valve prosthesis.
Medical necessity is established by the presence of signs and symptoms of infection or inflammation related to the prosthetic heart valve, requiring intervention to prevent serious complications such as heart failure or sepsis.
The physician is responsible for diagnosing and treating the infection and inflammation, which may involve medication, surgery, or other interventions.
In simple words: This code signifies an infection or inflammation related to an artificial heart valve.
Infection and inflammatory reaction due to cardiac valve prosthesis. Use additional code to identify infection.
Example 1: A patient with a history of cardiac valve replacement presents with fever, chills, and fatigue. Blood cultures confirm an infection associated with the prosthetic valve., A patient develops endocarditis (inflammation of the heart lining) after a recent heart valve surgery., A patient experiences persistent inflammation around the prosthetic valve, even after antibiotic treatment for a previous infection.
Documentation should include the presence of infection or inflammation, its relationship to the cardiac valve prosthesis, any associated symptoms, diagnostic test results (e.g., blood cultures, echocardiogram), and treatment provided.
** Excludes2: failure and rejection of transplanted organs and tissue (T86.-)
- Payment Status: Active
- Specialties:Cardiology, Cardiothoracic Surgery, Infectious Disease
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office