Common ICD-10 Diagnosis Codes for TEE/ References for 3D and Strain Imaging July 2017 the Information Provided Here Is for Reference Use Only
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Congenital Cardiac Surgery ICD9 to ICD10 Crosswalks Page 1 of 4 8
Congenital Cardiac Surgery ICD9 to ICD10 Crosswalks ICD-9 code ICD-9 Descriptor ICD-10 Code ICD-10 Descriptor 164.1 Malignant neoplasm of heart C38.0 Malignant neoplasm of heart 164.1 Malignant neoplasm of heart C45.2 Mesothelioma of pericardium 212.7 Benign neoplasm of heart D15.1 Benign neoplasm of heart 425.11 Hypertrophic obstructive cardiomyopathy I42.1 Obstructive hypertrophic cardiomyopathy 425.18 Other hypertrophic cardiomyopathy I42.2 Other hypertrophic cardiomyopathy 425.3 Endocardial fibroelastosis I42.4 Endocardial fibroelastosis 425.4 Other primary cardiomyopathies I42.0 Dilated cardiomyopathy 425.4 Other primary cardiomyopathies I42.5 Other restrictive cardiomyopathy 425.4 Other primary cardiomyopathies I42.8 Other cardiomyopathies 425.4 Other primary cardiomyopathies I42.9 Cardiomyopathy, unspecified 426.9 Conduction disorder, unspecified I45.9 Conduction disorder, unspecified 745.0 Common truncus Q20.0 Common arterial trunk 745.10 Complete transposition of great vessels Q20.3 Discordant ventriculoarterial connection 745.11 Double outlet right ventricle Q20.1 Double outlet right ventricle 745.12 Corrected transposition of great vessels Q20.5 Discordant atrioventricular connection 745.19 Other transposition of great vessels Q20.2 Double outlet left ventricle 745.19 Other transposition of great vessels Q20.3 Discordant ventriculoarterial connection 745.19 Other transposition of great vessels Q20.8 Other congenital malformations of cardiac chambers and connections 745.2 Tetralogy of fallot Q21.3 Tetralogy of Fallot 745.3 Common -
Pub 100-04 Medicare Claims Processing Centers for Medicare & Medicaid Services (CMS) Transmittal 3054 Date: August 29, 2014 Change Request 8803
Department of Health & CMS Manual System Human Services (DHHS) Pub 100-04 Medicare Claims Processing Centers for Medicare & Medicaid Services (CMS) Transmittal 3054 Date: August 29, 2014 Change Request 8803 SUBJECT: Ventricular Assist Devices for Bridge-to-Transplant and Destination Therapy I. SUMMARY OF CHANGES: This Change Request (CR) is effective for claims with dates of service on and after October 30, 2013; contractors shall pay claims for Ventricular Assist Devices as destination therapy using the criteria in Pub. 100-03, part 1, section 20.9.1, and Pub. 100-04, Chapter 32, sec. 320. EFFECTIVE DATE: October 30, 2013 *Unless otherwise specified, the effective date is the date of service. IMPLEMENTATION DATE: September 30, 2014 Disclaimer for manual changes only: The revision date and transmittal number apply only to red italicized material. Any other material was previously published and remains unchanged. However, if this revision contains a table of contents, you will receive the new/revised information only, and not the entire table of contents. II. CHANGES IN MANUAL INSTRUCTIONS: (N/A if manual is not updated) R=REVISED, N=NEW, D=DELETED-Only One Per Row. R/N/D CHAPTER / SECTION / SUBSECTION / TITLE D 3/90.2.1/Artifiical Hearts and Related Devices R 32/Table of Contents N 32/320/Artificial Hearts and Related Devices N 32/320.1/Coding Requirements for Furnished Before May 1, 2008 N 32/320.2/Coding Requirements for Furnished After May 1, 2008 N 32/320.3/ Ventricular Assist Devices N 32/320.3.1/Postcardiotomy N 32/320.3.2/Bridge-To -Transplantation (BTT) N 32/320.3.3/Destination Therapy (DT) N 32/320.3.4/ Other N 32/320.4/ Replacement Accessories and Supplies for External Ventricular Assist Devices or Any Ventricular Assist Device (VAD) III. -
A Case of Stenosis of Mitral and Tricuspid Valves in Pregnancy, Treated by Percutaneous Sequential Balloon Valvotomy
Case Report Annals of Clinical Medicine and Research Published: 30 Jun, 2020 A Case of Stenosis of Mitral and Tricuspid Valves in Pregnancy, Treated by Percutaneous Sequential Balloon Valvotomy Vipul Malpani, Mohan Nair*, Pritam Kitey, Amitabh Yaduvanshi, Vikas Kataria and Gautam Singal Department of Cardiology, Holy Family Hospital, New Delhi, India Abstract Rheumatic mitral stenosis is associated with other lesions, but combination of mitral stenosis and tricuspid stenosis is unusual. We are reporting a case of mitral and tricuspid stenosis in a pregnant lady that was successfully treated by sequential balloon valvuloplasty in a single sitting. Keywords: Mitral stenosis; Tricuspid stenosis; Balloon valvotomy Abbreviations MS: Mitral Stenosis; TS: Tricuspid Stenosis; BMV: Balloon Mitral Valvotomy; CMV: Closed Mitral Valvotomy; BTV: Balloon Tricuspid Valvotomy; PHT: Pressure Half Time; MVA: Mitral Valve Area; TVA: Tricuspid Valve Area; LA: Left Atrium; RA: Right Atrium; TR: Tricuspid Regurgitation Introduction Rheumatic Tricuspid valve Stenosis (TS) is rare, and it generally accompanies mitral valve disease [1]. TS is found in 15% cases of rheumatic heart disease but it is of clinical significance in only 5% cases [2]. Isolated TS accounts for about 2.4% of all cases of organic tricuspid valve disease and is mostly seen in young women [3,4]. Combined stenosis of mitral and tricuspid valves is extremely uncommon. Combined stenosis of both the valves has never been reported in pregnancy. Balloon Mitral Valvotomy (BMV) and surgical Closed Mitral Valvotomy (CMV) are two important OPEN ACCESS therapeutic options in the management of rheumatic mitral stenosis. Significant stenosis of the *Correspondence: tricuspid valve can also be treated by Balloon Tricuspid Valvotomy (BTV) [5,6]. -
Severe Tricuspid Valve Stenosis
Severe Tricuspid Valve Stenosis A Cause of Silent Mitral Stenosis Abdolhamid SHEIKHZADEH, M.D., Homayoon MOGHBELI, M.D., Parviz GHABUSSI, M.D., and Siavosh TARBIAT, M.D. SUMMARY The diastolic rumbling murmur of mitral stenosis (MS) may be attenuated in the presence of low cardiac output, right ventri- cular enlargement, Lutembacher's syndrome, pulmonary emphy- sema, and obesity. In this report we would like to stress that the presence of tricuspid stenosis (TS) is an additional significant cause of silent MS. The clinical material consisted of 73 patients with rheumatic TS who had undergone cardiac surgery. Five of these cases had clinical findings of TS without auscultatory findings of MS. They were found to have severe MS at the time of operation and to re- quire mitral valve surgery. At cardiac catheterization the mean diastolic gradient (MDG) across the mitral valve (MV) was less than 3mmHg and pulmonary arterial systolic pressure was 29- 42mmHg. The MDG across the tricuspid valve was 6-17mmHg. In conclusion, TS can mask clinical and hemodynamic find- ings of MS. The reason for this is the mechanical barrier imposed by TS proximal to the MV. Additional Indexing Words: Rheumatic valvular disease Atrial imprint Tricuspid valve surgery HE most common silent valvular lesion is that of mitral stenosis (MS).1) T The auscultatory findings of MS particularly the diastolic rumble, can be masked in patients with low cardiac output,2) severe pulmonary hyperten- sion right ventricular hypertrophy,3) Lutembacher's syndrome,4) pulmonary emphysema, and obesity.2) The purpose of this communication is to report another cause of true silent MS. -
Supplemental Table 1. ICD-9 and ICD-10 Codes
BMJ Publishing Group Limited (BMJ) disclaims all liability and responsibility arising from any reliance Supplemental material placed on this supplemental material which has been supplied by the author(s) Heart Supplemental Table 1. ICD-9 and ICD-10 Codes ACHD Category Diagnosis ICD-9 Diagnosis or ICD-10 Diagnosis or Procedure Codes Procedure Code Single Common Truncus 745.0 Q20.0 Two Complete Transposition of Great Vessels 745.10, 745.19 Q20.3, Q20.8 Two Double Outlet Right Ventricle 745.11 Q20.1 Two L-Transposition of Great Vessels 745.12 Q20.5 Two Tetralogy of Fallot 745.2 Q21.3 Single Common Ventricle or Double Inlet Ventricle 745.3 Q20.4 Two Ventricular Septal Defect 745.4 Q21.0, I27.83 Two Endocardial Cushion Defect 745.60, 745.69 Q21.2 Two Ostium Primum Atrial Septal Defect 745.61 Q21.2 Two Cor Biloculare 745.70 Q21.1 Two Other Bulbus Cordis Anomaly of Septal Defect 745.80 Q20.8, Q21.4 Two Unspecified Defect of Septal Defect 745.90 Q21.9 Two Pulmonary Valve Anomaly 746.0, 746.09 Q22.3, Q22.2 Two Pulmonary Atresia 746.01 Q22.0 Two Congenital Pulmonary Stenosis 746.02, 746.83 Q22.1, Q24.3 Single Congenital Tricuspid Atresia and Stenosis 746.1 Q22.9, Q22.4, Q22.8 Two Ebstein’s Anomaly 746.2 Q22.5 Two Congenital Mitral Stenosis 746.5 Q23.2 Two Congenital Mitral Insufficiency 746.6 Q23.3 Single Hypoplastic Left Heart Syndrome 746.70 Q23.4 Two Subaortic Stenosis 746.81 Q24.4 Two Cor Triatriatum 746.82 Q24.2 Two Congenital Obstructive Anomalies of Heart 746.84 Q24.8 Two Congenital Coronary Artery Anomaly 746.85 Q24.5 Two Malposition of Heart and Cardiac ApeX 746.87 Q24.0, Q24.1 Two Other Congenital Anomalies of Heart 746.89, 746.90 Q23.8, Q24.8, Q23.9, Q20.9, Q24.9 Two Patent Ductus Arteriosus 747.0 Q25.0 Two Coarctation of Aorta 747.10 Q25.1 Two Interruption of Aortic Arch 747.11 Q25.21 Two Other Congenital Anomalies of Aorta 747.20, 747.21, Q25.4, Q25.41, Q25.42, 747.29 Q25.43, Q25.44, Q25.45, Burstein DS, et al. -
A Presentation of Congenital Cor-Triatriatum
Malaysian Journal of Paediatrics and Child Health (MJPCH) | Vol. 25 (2) December 2019: Page 23 of 27 CASE REPORT OFFICIAL JOURNAL MJPCH Vol. 25 (2) December 2019 UNRESOLVED TACHYPNOEA: A PRESENTATION OF CONGENITAL COR-TRIATRIATUM Fahisham Taib, Nur Atiqah Abdul Rahman, Mohd Rizal Mohd Zain Abstract Cor-triatriatum is a rare cardiac anomaly. In literature, majority case reports on the condition focused on its late presentation in adulthood. It can be easily corrected by surgical intervention to avoid pulmonary congestion and subsequent pulmonary hypertension. We report a rare case of cor-triatriatum with severe pulmonary hypertension in a 7-week-old baby who presented with persistent tachypnoea. Keywords: Received: 1 July 2019; Accepted revised manuscript: 2 Cor-triatriatum; Cardiac failure; Tachypnoea April 2020 Published online: 18 April 2020 Introduction Following completion of antibiotic treatment, Cor-triatriatum is a rare cardiac malformation and baby X maintained his respiratory rate at 65 may present with variation in clinical breaths/minute with saturation of 97% in FiO2 presentation. Its incidence is estimated at about 0.35. There was no adventitious breath sound on 0.1% of all congenital heart disease. In this auscultation, apex beat was palpable at the anomaly, the atrium is divided by a fibromuscular fourth intercostal space midclavicular line with membrane into two distinct chambers: a the presence of loud second heart sound at the posterior- superior chamber which receives the pulmonary area. His liver edge was palpable 1 cm four pulmonary veins and an anterior-inferior below the right costal margin. His chest chamber (true left atrium) which connected to radiograph showed normal cardiac contour with the ventricle via atrioventricular valves. -
Building Blocks of Clinical Practice Helping Athletic Trainers Build a Strong Foundation Issue #7: Cardiac Assessment: Basic Cardiac Auscultation Part 2 of 2
Building Blocks of Clinical Practice Helping Athletic Trainers Build a Strong Foundation Issue #7: Cardiac Assessment: Basic Cardiac Auscultation Part 2 of 2 AUSCULTATION Indications for Cardiac Auscultation • History of syncope, dizziness • Chest pain, pressure or dyspnea during or after activity / exercise • Possible indication of hypertrophic cardiomyopathy • Sensations of heart palpitations • Tachycardia or bradycardia • Sustained hypertension and/or hypercholesterolemia • History of heart murmur or heart infection • Noted cyanosis • Trauma to the chest • Signs of Marfan’s syndrome * Enlarged or bulging aorta * Ectomorphic, scoliosis or kyphosis, pectus excavatum or pectus carinatum * Severe myopia Stethoscope • Diaphragm – best for hearing high pitched sounds • Bell – best for hearing low pitched sounds • Ideally, auscultate directly on skin, not over clothes Adult Rate • > 100 bpm = tachycardia • 60-100 bpm = normal (60-95 for children 6-12 years old) • < 60 bpm = bradycardia Rhythm • Regular • Irregular – regularly irregular or “irregularly” irregular Auscultation Sites / Valvular Positions (see part 1 of 2 for more information) • Aortic: 2nd right intercostal space • Pulmonic: 2nd left intercostal space • Tricuspid: 4th left intercostal space • Mitral: Apex, 5th intercostal space (mid-clavicular line) Auscultate at each valvular area with bell and diaphragm and assess the following: • Cardiac rhythm – regular or irregular • Heart sounds – note the quality • Murmurs – valvular locations • Extra-Cardiac Sounds – clicks, snaps and -
Shone Syndrome
Q&A Shone Syndrome A PUBLICATION OF THE ADULT CONGENITAL HEART ASSOCIATION • WWW.ACHAHEART.ORG • 888-921-ACHA (2242) What is Shone syndrome? A supramitral ring is a fibrous membrane that surrounds and Shone syndrome is a collection of eight left-sided obstructive rests on top of the annulus or base of the valve. The membrane heart lesions. These affect blood flow to and from the left looks like an orange peel—thick and fibrous. It can be peeled ventricle, or lower left heart chamber. off of the annulus. This narrows the opening of the valve and results in obstruction. Shone syndrome was identified by Dr. John Shone in 1953. He described four lesions. Now, eight lesions are considered part It has a variable presentation, ranging from mild to severe. of Shone syndrome. A person must have at least three of these Surgical resection is the treatment of choice and it is generally lesions to be diagnosed. Of the eight lesions, supra mitral valve, successful. The recurrence rate is fairly high, especially in parachute mitral valve, subaortic stenosis, and coarctation of young children. For this reason, surgery in children is not the aorta were the first four described. recommended unless it is causing problems. Catheter based techniques (balloon dilation) are sometimes temporarily Because so many different defects are involved, individuals successful. However, the obstruction usually returns. present in varying ways, with a wide range of combinations of defects, symptoms, and issues. The number of lesions does not Individuals present in varying ways, with a wide range necessarily determine the severity of the disease. -
Cor Triatriatum in an Adult
Case Report: Image In Cardiology Nepalese Heart Journal 2017; 14(1): 33-34 Cor Triatriatum in an Adult Anish Hirachan,1 Dipanker Prajapati,2 Madhu Roka,2 Murari Dhungana,2 Deewakar Sharma2 1 National Academy of Medical Sciences, Kathmandu 2 Sahid Gangalal National Heart Centre, Bansbari, Kathmandu Corresponding author: Anish Hirachan Department of Cardiology, National Academy of Medical Sciences, Bir Hospital, Mahaboudha, Kathmandu Email address: [email protected] Abstract A 29 year old female patient presented to the cardiology OPD with history of progressive breathlessness of NYHA class II and palpitation of 1 year duration. Under evaluation, she underwent 2D transthoracic echocardiography that revealed an extra septum that subdivided the left atrium into proximal and distal chambers. The diagnosis of cor triatriatum was hence made and was referred to surgical team for corrective surgery. The communication between proximal and distal chamber was provided by large fenestration in the fibromuscular membrane. Keywords : Cor triatriatum, fenestration ,left atrium Introduction Discussion: Cor triatriatum is a congenital anomaly that was first reported by Cor triatriatum is a rare congenital heart disease (CHD), 0.1% Church in 1868.1 Cor triatriatum sinister (CTS) is a rare congenital of all congenital cardiac defects but a higher incidence, up to anomaly that is caused by a fibromuscular membrane dividing the 0.4% has been reported in autopsies of patients with CHD.3 It’s left atrium (LA) into two chambers. Communication between the a surgically correctable CHD and can occur as an isolated defect pulmonary veins and anterior chamber is provided by fenestrations (classic) or in association with other congenital cardiac anomalies on the membrane. -
Cardiovascular Magnetic Resonance (CMR) Page 1 of 11
Cardiovascular Magnetic Resonance (CMR) Page 1 of 11 No review or update is scheduled on this Medical Policy as it is unlikely that further published literature would change the policy position. If there are questions about coverage of this service, please contact Blue Cross and Blue Shield of Kansas customer service, your professional or institutional relations representative, or submit a predetermination request. Medical Policy An independent licensee of the Blue Cross Blue Shield Association Title: Cardiovascular Magnetic Resonance (CMR) Professional Institutional Original Effective Date: August 4, 2005 Original Effective Date: July 1, 2006 Revision Date(s): February 27, 2006, Revision Date(s): May 2, 2007; May 2, 2007; November 1, 2007; November 1, 2007; January 1, 2010; January 1, 2010; February 15, 2013; February 15, 2013; December 11, 2013; December 11, 2013; April 15, 2014; April 15, 2014; July 15, 2014; June 10, 2015; July 15, 2014; June 10, 2015; June 8, 2016; June 8, 2016; October 1, 2016; October 1, 2016; May 10, 2017; May 10, 2017; April 25, 2018; April 25, 2018; October 1, 2018 October 1, 2018 Current Effective Date: July 15, 2014 Current Effective Date: July 15, 2014 Archived Date: July 3, 2019 Archived Date: July 3, 2019 State and Federal mandates and health plan member contract language, including specific provisions/exclusions, take precedence over Medical Policy and must be considered first in determining eligibility for coverage. To verify a member's benefits, contact Blue Cross and Blue Shield of Kansas Customer Service. The BCBSKS Medical Policies contained herein are for informational purposes and apply only to members who have health insurance through BCBSKS or who are covered by a self-insured group plan administered by BCBSKS. -
Cor Triatriatum in an 86-Year-Old Woman: Initial Presentation with Pulmonary Hypertension Discovered During Preoperative Evaluation Akintunde a A
Case Report Singapore Med J 2011; 52(10) : e203 Cor triatriatum in an 86-year-old woman: initial presentation with pulmonary hypertension discovered during preoperative evaluation Akintunde A A ABSTRACT LA - left atrium Cor triatriatum is a congenital heart malformation RA - right atrium LV - left ventricle that is characterised by the division of the left or RV - right ventricle right atrium into two separate chambers by a membrane or diaphragm. Reports among adults are scarce, as most cases are diagnosed during childhood. The risk of mortality is increased when cor triatriatum is complicated by pulmonary hypertension. This is a report of an 86-year-old woman with World Health Organization Group 2 pulmonary hypertension secondary to cor Fig. 1 4-chamber apical echocardiography image shows the left triatriatum, discovered during preoperative atrium divided by a membranous structure into an upper and workup. Echocardiography showed a membrane lower division associated with floppy interatrial septum. Note dividing the left atrium into two. Doppler studies the membrane and the opening of the membrane dividing the left atrium into two chambers (arrow). revealed a reversal of normal flow, similar to mitral stenosis. The right ventricle was dilated, with reduced long axis function. most of the adults reported were in their fifth or sixth decade of life.(6-8) In this report, an 86-year-old woman Keywords: congenital heart malformation, cor was coincidentally discovered to have cor triatriatum triatriatum, echocardiography, pulmonary during routine preoperative evaluation. hypertension Singapore Med J 2011; 52(10): e203-e205 CASE REPORT An 86-year-old woman was referred to our institution as INTRODUCTION part of her preoperative review for echocardiographic Cor triatriatum was first reported in 1868.(1) It is a rare examination. -
Surgical Management of Tricuspid Stenosis
Art of Operative Techniques Surgical management of tricuspid stenosis Marisa Cevasco, Prem S. Shekar Division of Cardiac Surgery, Brigham and Women’s Hospital, Boston, MA, USA Correspondence to: Prem S. Shekar, MD. Chief of Cardiac Surgery, 75 Francis Street, Boston, MA 02115, USA. Email: [email protected]. Tricuspid valve stenosis (TS) is rare, affecting less than 1% of patients in developed nations and approximately 3% of patients worldwide. Detection requires careful evaluation, as it is almost always associated with left-sided valve lesions that may obscure its significance. Primary TS is most frequently caused by rheumatic valvulitis. Other causes include carcinoid, radiation therapy, infective endocarditis, trauma from endomyocardial biopsy or pacemaker placement, or congenital abnormalities. Surgical management of TS is not commonly addressed in standard cardiac texts but is an important topic for the practicing surgeon. This paper will elucidate the anatomy, pathophysiology, and surgical management of TS. Keywords: Tricuspid stenosis (TS); tricuspid valve replacement (TVR) Submitted Feb 26, 2017. Accepted for publication Apr 21, 2017. doi: 10.21037/acs.2017.05.14 View this article at: http://dx.doi.org/10.21037/acs.2017.05.14 Introduction has also been accommodated in the design of annuloplasty rings, which have a gap in the ring in this area. Anatomy The anterior papillary muscle provides chordae to the The tricuspid valve consists of three leaflets (anterior, anterior and posterior leaflets, the posterior papillary muscle posterior, and septal), their associated chordae tendineae provides chordae to the posterior and septal leaflets, and the and papillary muscles, the fibrous tricuspid annulus, and the septal wall gives chordae to the anterior and septal leaflets.