Diagnosis Code Z95.4
Information for Medical Professionals
The following edits are applicable to this code:
Unacceptable principal diagnosis Unacceptable 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 V34.0)
- 314 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC
- 315 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC
- 316 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC
Convert to ICD-9 General 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.
- V42.2 - Heart valve transplant (approximate) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
Present on Admission (POA) Present 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 (Medical Encyclopedia)
- Aortic stenosis (Medical Encyclopedia)
- Aortic valve surgery - minimally invasive (Medical Encyclopedia)
- Aortic valve surgery - open (Medical Encyclopedia)
- Bicuspid aortic valve (Medical Encyclopedia)
- Heart murmurs and other sounds (Medical Encyclopedia)
- Heart valve surgery (Medical Encyclopedia)
- Transcatheter aortic valve replacement (Medical Encyclopedia)
- Tricuspid regurgitation (Medical Encyclopedia)