what is the 2025 icd-10-cm code for the congenital anomaly bicuspid aortic valve?

Malaps

2 min read

·

01-12-2024

55

0

Share

The 2025 ICD-10-CM Code for Congenital Bicuspid Aortic Valve

The ICD-10-CM code for a congenital bicuspid aortic valve will not change in 2025. ICD-10-CM codes are updated annually, but the fundamental coding for this condition remains consistent. Therefore, the code to use in 2025, and likely for the foreseeable future, is Q23.0.

Understanding Q23.0:

Q23.0 specifically designates "Bicuspid aortic valve." This code is used to classify the congenital anomaly of having a bicuspid aortic valve, meaning the aortic valve only has two leaflets instead of the normal three. This condition is significant because it can lead to various cardiovascular complications later in life, such as aortic stenosis, regurgitation, or dilation.

Important Considerations for Accurate Coding:

While Q23.0 is the primary code, accurate coding often requires additional codes to fully describe the patient's condition and any associated complications. For example, you might need to add codes to specify:

• Aortic stenosis (I35.0-I35.2): If the bicuspid valve causes narrowing of the aortic valve opening.
• Aortic regurgitation (I36.0): If the bicuspid valve allows blood to leak backward into the left ventricle.
• Aortic aneurysm (I71.0-I71.9): If the bicuspid valve leads to dilation or widening of the aorta.
• Other related conditions: Depending on the specific case, additional codes may be necessary to describe associated heart defects or other complications.

Why Accurate Coding is Crucial:

Precise ICD-10-CM coding is critical for several reasons:

• Accurate Healthcare Statistics: Reliable coding provides data for epidemiological research and public health planning related to cardiovascular diseases.
• Reimbursement and Billing: Correct coding ensures proper reimbursement from insurance companies. Inaccurate coding can lead to claim denials or delays.
• Patient Care: Comprehensive coding helps healthcare providers understand the full complexity of a patient's condition, enabling more effective diagnosis and treatment.
• Research and Clinical Trials: Consistent coding facilitates meaningful analysis of clinical data in research studies.

Disclaimer: This information is for educational purposes only and should not be considered medical advice. Always consult with a qualified medical coder or healthcare professional for accurate coding in specific clinical scenarios. The official ICD-10-CM code set published by the Centers for Medicare & Medicaid Services (CMS) is the definitive source for coding guidelines. Always refer to the most current version of the code set for the most accurate information.