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2025 ICD-10-CM code Z95.2

Presence of prosthetic heart valve.

A Z code should not be used as a primary diagnosis. If the encounter is for a complication related to the prosthetic valve, the complication code should be the principal diagnosis.

This code is used to indicate a past procedure that influences the patient's current health status.

The physician documents the presence of the prosthetic heart valve.

In simple words: This code indicates the presence of an artificial heart valve.

Presence of prosthetic heart valve.

Example 1: A patient with a history of mitral valve stenosis underwent mitral valve replacement with a prosthetic valve six months ago and presents for a routine follow-up appointment., A patient with a prosthetic aortic valve is admitted to the hospital for pneumonia., A patient with a history of endocarditis and subsequent prosthetic valve replacement now presents with fever.

Documentation supporting the presence of a prosthetic heart valve, such as operative notes or imaging reports.

** This code is not to be used for a patient awaiting heart valve replacement surgery.Other Z codes may be more appropriate, such as those for follow-up or aftercare related to a previous heart valve surgery if that is the reason for the encounter. Always ensure the reason for the encounter is documented clearly.Z95.2 is a valid billable code as of 2024-11-30.

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