ICD-10-CM Code Z95.2
Presence of prosthetic heart valve
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.POA Exempt Code
The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.Z95.2 is a billable ICD code used to specify a diagnosis of presence of prosthetic heart valve. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
POA Indicators on CMS form 4010A are as follows:
| Indicator | Meaning | CMS Will Pay CC/MCC DRG Costs |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission | Yes |
| N | Diagnosis was not present at time of inpatient admission | No |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | No |
| W | Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission. | Yes |
| 1 | Exempt from POA reporting | No |
Coding Notes for Z95.2 Info for medical coders on how to properly use this ICD-10 code
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Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive. - Presence of heart valve NOS
MS-DRG Mapping
- DRG Group #314-316 - Other circulatory system diagnoses with MCC.
- DRG Group #314-316 - Other circulatory system diagnoses with CC.
- DRG Group #314-316 - Other circulatory system diagnoses without CC or MCC.
Related Concepts SNOMET-CT
- History of mechanical aortic valve replacement (situation)
- History of replacement of mitral valve with tissue graft (situation)
- History of mechanical prosthetic mitral valve replacement (situation)
Coding Advice SNOMET-CT
- Consider additional code to identify specific condition or disease
ICD-10-CM Alphabetical Index References for 'Z95.2 - Presence of prosthetic heart valve'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Z95.2. Click on any term below to browse the alphabetical index.
Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code Z95.2 and a single ICD9 code, V43.3 is an approximate match for comparison and conversion purposes.
Parent Code: Z95 - Presence of cardiac and vascular implants and grafts