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
