ICD Code I34.0

ICD code I34.0 is used to identify nonrheumatic mitral valve insufficiency, a condition where the mitral valve in the heart does not close properly, leading to the backward flow of blood from the left ventricle into the left atrium. This can result in symptoms such as fatigue, shortness of breath, and heart palpitations, and may require medical management or surgical intervention depending on severity.

1. Presence of Mitral Valve Regurgitation: The primary criterion for using this ICD code is the diagnosis of mitral valve regurgitation, where the mitral valve does not close tightly, allowing blood to flow backward in the heart.

2. Nonrheumatic Etiology: The condition must be nonrheumatic in origin, meaning it is not caused by rheumatic fever or related rheumatic heart disease.

3. Echocardiographic Evidence: Confirmation through echocardiography showing regurgitation of blood from the left ventricle into the left atrium during systole.

4. Symptoms of Heart Failure: Patients may present with symptoms such as shortness of breath, fatigue, or palpitations, which are indicative of heart failure due to mitral insufficiency.

5. Auscultation Findings: A heart murmur, typically a holosystolic murmur heard best at the apex of the heart, may be detected during a physical examination.

6. Absence of Rheumatic Heart Disease History: The patient should have no history of rheumatic fever or rheumatic heart disease to ensure the condition is nonrheumatic.

7. Left Atrial Enlargement: Imaging or diagnostic tests may show enlargement of the left atrium due to increased volume load from regurgitation.

8. Pulmonary Hypertension: Secondary pulmonary hypertension may be present due to increased pressure in the pulmonary circulation from chronic mitral regurgitation.

9. Exclusion of Other Valve Diseases: Other valvular diseases should be ruled out to confirm that the insufficiency is isolated to the mitral valve and nonrheumatic in nature.

For the ICD code I34.0, which pertains to nonrheumatic mitral (valve) insufficiency, the relevant CPT codes that may be applicable for treatment include:

1. 33420 - Valvotomy, mitral valve; closed heart, with cardiopulmonary bypass.
2. 33425 - Valvuloplasty, mitral valve, with cardiopulmonary bypass.
3. 33426 - Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring.
4. 33427 - Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring.
5. 33430 - Replacement, mitral valve, with cardiopulmonary bypass.
6. 33460 - Annuloplasty, mitral valve, with cardiopulmonary bypass.
7. 33464 - Replacement, mitral valve, with cardiopulmonary bypass; with prosthetic valve.

These CPT codes are used for various surgical procedures related to the treatment of mitral valve insufficiency. It's important for healthcare providers to select the appropriate CPT code based on the specific procedure performed.

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