ICD-10 Diagnosis Code Z95.4

Presence of other heart-valve replacement

Diagnosis Code Z95.4

ICD-10: Z95.4
Short Description: Presence of other heart-valve replacement
Long Description: Presence of other heart-valve replacement
This is the 2017 version of the ICD-10-CM diagnosis code Z95.4

Code Classification
  • Factors influencing health status and contact with health services
    • Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
      • Presence of cardiac and vascular implants and grafts (Z95)

Information for Medical Professionals

Code Edits
The following edits are applicable to this code:
Unacceptable principal diagnosis Additional informationCallout TooltipUnacceptable principal diagnosis
There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Diagnostic Related Groups
The diagnosis code Z95.4 is grouped in the following Diagnostic Related Group(s) (MS-DRG v33.0)


Convert to ICD-9 Additional informationCallout TooltipGeneral Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

Present on Admission (POA) Additional informationCallout TooltipPresent on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

The code Z95.4 is exempt from POA reporting.

  • History of aortic valve replacement
  • History of heart valve repair
  • History of mitral valve replacement
  • History of pulmonary valve replacement
  • History of pulmonary valvuloplasty
  • History of replacement of mitral valve with tissue graft
  • History of tissue graft aortic valve replacement
  • History of tissue graft heart valve replacement
  • History of tissue graft mitral valve replacement

Information for Patients

Heart Valve Diseases

Also called: Valvular heart disease

Your heart has four valves. Normally, these valves open to let blood flow through or out of your heart, and then shut to keep it from flowing backward. But sometimes they don't work properly. If they don't, you could have

  • Regurgitation - when blood leaks back through the valve in the wrong direction
  • Mitral valve prolapse - when one of the valves, the mitral valve, has "floppy" flaps and doesn't close tightly. It's one of the most common heart valve conditions. Sometimes it causes regurgitation.
  • Stenosis - when the valve doesn't open enough and blocks blood flow

Valve problems can be present at birth or caused by infections, heart attacks, or heart disease or damage. The main sign of heart valve disease is an unusual heartbeat sound called a heart murmur. Your doctor can hear a heart murmur with a stethoscope. But many people have heart murmurs without having a problem. Heart tests can show if you have a heart valve disease. Some valve problems are minor and do not need treatment. Others might require medicine, medical procedures, or surgery to repair or replace the valve.

NIH: National Heart, Lung, and Blood Institute

  • Aortic insufficiency
  • Aortic stenosis
  • Aortic valve surgery - minimally invasive
  • Aortic valve surgery - open
  • Bicuspid aortic valve
  • Heart murmurs and other sounds
  • Heart valve surgery
  • Tricuspid regurgitation

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