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Z95.2

Billable

Presence of prosthetic heart valve

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A patient who has had a mechanical or biological heart valve surgically replaced to restore normal blood flow through the heart.

Coding Tips

  • Specify the type of valve replacement (mechanical, bioprosthetic, or homograft) in documentation for optimal coding accuracy
  • Combine with codes for valve complications if the patient presents with issues related to the prosthetic valve

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