Thursday, August 27, 2015

Know About ‘Heart valve disorders’

CCS Category Name:  Heart valve disorders
CCS Category Code:  96
ICD-9 Included (With Description):
ICD-9 Code    ICD9-Descriotion
3940    MITRAL STENOSIS
3941    RHEUMATIC MITRAL INSUFF
3942    MITRAL STENOSIS W INSUFF
3949    MITRAL VALVE DIS NEC/NOS
3950    RHEUMAT AORTIC STENOSIS
3951    RHEUMATIC AORTIC INSUFF
7852    CARDIAC MURMURS NEC
7853    ABNORM HEART SOUNDS NEC
V422    HEART VALVE TRANSPLANT
V433    HEART VALVE REPLAC NEC
4241    AORTIC VALVE DISORDER
4242    NONRHEUM TRICUSP VAL DIS
4243    PULMONARY VALVE DISORDER
42490    ENDOCARDITIS NOS
42491    ENDOCARDITIS IN OTH DIS
42499    ENDOCARDITIS NEC
3968    MITR/AORTIC MULT INVOLV
3969    MITRAL/AORTIC V DIS NOS
3970    TRICUSPID VALVE DISEASE
3971    RHEUM PULMON VALVE DIS
3979    RHEUM ENDOCARDITIS NOS
4240    MITRAL VALVE DISORDER
3952    RHEUM AORTIC STEN/INSUFF
3959    RHEUM AORTIC DIS NEC/NOS
3960    MITRAL/AORTIC STENOSIS
3961    MITRAL STENOS/AORT INSUF
3962    MITRAL INSUF/AORT STENOS
3963    MITRAL/AORTIC VAL INSUFF

Disease Description: Heart valves regulate the flow of blood through the heart's four chambers—two small, round upper chambers (atria) and two larger, cone-shaped lower chambers (ventricles). Each ventricle has a inlet and a outlet valve. And both of these inlet and outlet valves are ‘one-way’. Each valve consists of flaps that open and close like one-way swinging doors.
These Heart valves can malfunction either by leaking or by or by not opening adequately and thus partially blocking the flow of blood through the valve. Either problem can greatly interfere with the heart's ability to pump blood.

What Are the Types of Valve Disease?

There are several types of valve disease:
Valvular stenosis. This occurs when a valve opening is smaller than normal due to stiff or fused leaflets. The narrowed opening may make the heart work very hard to pump blood through it. This can lead to heart failure and other symptoms (see below). All four valves can be stenotic (hardened, restricting blood flow); the conditions are called tricuspid stenosis, pulmonic stenosis, mitral stenosis or aortic stenosis.
Valvular insufficiency. Also called regurgitation, incompetence or "leaky valve", this occurs when a valve does not close tightly. If the valves do not seal, some blood will leak backwards across the valve. As the leak worsens, the heart has to work harder to make up for the leaky valve, and less blood may flow to the rest of the body. Depending on which valve is affected, the conditioned is called tricuspid regurgitation, pulmonary regurgitation, mitral regurgitation or aortic regurgitation.

Signs & Symptoms:

Shortness of breath and/or difficulty catching your breath.
Weakness or dizziness.
Discomfort in your chest.
Palpitations.
Swelling of your ankles, feet or abdomen.
Rapid weight gain.

Treatment Options:
Medical Treatment: Common Types of Medications used for 'Heart valve disorders' are: Diuretics, Antiarrhythmic medications, Vasodilators, ACE inhibitors, Beta blockers, Anticoagulants ("blood thinners")
Surgical Treatment: Depending upon results of different tests, the structure of your heart, your age, and your lifestyle will help your cardiologist (heart doctor), surgeon, and you decide what type of procedure will be best for you.
Surgical options include heart valve repair or replacement. Valves can be repaired or replaced with traditional heart valve surgery or a minimally invasive heart valve surgical procedure. Heart valves may also be repaired by other procedures such as percutaneous balloon valvotomy.
Procedure Suggested:
Procedure Code    Procedure Description
3596    PERC HEART VALVULOPLASTY (Begin 1986)
3597    Perc mtrl vlv repr w imp (Begin 2010)
3599    OTHER HEART VALVE OPS
3500    CLOSED VALVOTOMY NOS
3501    CLOSED AORTIC VALVOTOMY
3502    CLOSED MITRAL VALVOTOMY
3503    CLOSED PULMON VALVOTOMY
3504    CLOSED TRICUSP VALVOTOMY
3505    Endovas repl aortc valve (Begin 2011)
3506    Trnsapcl rep aortc valve (Begin 2011)
3507    Endovas repl pulm valve (Begin 2011)
3508    Trnsapcl repl pulm valve (Begin 2011)
3509    Endovas repl uns hrt vlv (Begin 2011)
3510    OPEN VALVULOPLASTY NOS
3511    OPN AORTIC VALVULOPLASTY
3512    OPN MITRAL VALVULOPLASTY
3513    OPN PULMON VALVULOPLASTY
3514    OPN TRICUS VALVULOPLASTY
3520    REPLACE HEART VALVE NOS
3521    REPLACE AORT VALV-TISSUE
3522    REPLACE AORTIC VALVE NEC
3523    REPLACE MITR VALV-TISSUE
3524    REPLACE MITRAL VALVE NEC
3525    REPLACE PULM VALV-TISSUE
3526    REPLACE PULMON VALVE NEC
3527    REPLACE TRIC VALV-TISSUE
3528    REPLACE TRICUSP VALV NEC

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