2025 ICD-10-CM code Z95.4
Presence of other heart-valve replacement.
Medical necessity must be established for all services rendered. The reason for the encounter should be clearly documented.
The physician is responsible for documenting the type of heart valve replacement and the reason for the encounter.
In simple words: This code indicates that the patient has had a heart valve replaced, and it's not one of the common types like a prosthetic or xenograft valve.
Presence of other heart-valve replacement. This code is used to indicate the presence of a heart valve replacement other than aortocoronary bypass graft, prosthetic heart valve, or xenogenic heart valve.It is important to note that Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed.
Example 1: A patient with a history of a heart valve replacement (not otherwise specified) presents for a routine follow-up examination., A patient with a history of a mechanical heart valve replacement presents with an infection. The infection is treated, but the presence of the heart valve replacement is documented using Z95.4., A patient who has undergone a heart valve replacement with a tissue valve (not a xenograft) is seen for management of their anticoagulation therapy.
Documentation should specify the type of heart valve replacement and the reason for the encounter.If a procedure is performed, the corresponding procedure code must also be documented.
** Excludes2: complications of cardiac and vascular devices, implants and grafts (T82.-)
- Specialties:Cardiology, Cardiothoracic Surgery
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Independent Clinic