Valid for Submission
T82.03XS is a billable diagnosis code used to specify a medical diagnosis of leakage of heart valve prosthesis, sequela. The code T82.03XS is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code T82.03XS might also be used to specify conditions or terms like disorder of aortic valve prosthesis, disorder of aortic valve prosthesis, disorder of mitral valve prosthesis, disorder of pulmonary valve prosthesis, disorder of tricuspid valve prosthesis , mechanical complication of heart valve prosthesis, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
T82.03XS is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like leakage of heart valve prosthesis. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.
The appropriate 7th character is to be added to each code from block Complications of cardiac and vascular prosth dev/grft (T82). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Disorder of aortic valve prosthesis
- Disorder of aortic valve prosthesis
- Disorder of mitral valve prosthesis
- Disorder of pulmonary valve prosthesis
- Disorder of tricuspid valve prosthesis
- Mechanical complication of heart valve prosthesis
- Paraprosthetic aortic regurgitation
- Paraprosthetic mitral regurgitation
- Paraprosthetic pulmonary regurgitation
- Paraprosthetic tricuspid regurgitation
- Postprocedural aortic valve regurgitation
- Postprocedural mitral valve regurgitation
- Prosthetic aortic valve regurgitation
- Prosthetic cardiac paravalvular leak
- Prosthetic cardiac valve regurgitation
- Prosthetic mitral valve regurgitation
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|922||OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC||21||1.5876|
|923||OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC||21||0.9304|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Present on Admission (POA)
Convert T82.03XS to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code T82.03XS its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
Heart Valve Diseases
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
[Learn More in MedlinePlus]