ICD Code I35.2

ICD code I35.2 is nonrheumatic aortic valve stenosis with insufficiency, meaning the aortic valve is both narrowed and leaking, but not due to rheumatic heart disease.

1. Evidence of aortic valve stenosis not attributed to rheumatic heart disease

2. Presence of aortic valve insufficiency (regurgitation)

3. Clinical symptoms such as dyspnea, chest pain, syncope, or heart failure

4. Echocardiographic findings confirming both stenosis and regurgitation of the aortic valve

5. Absence of history or findings suggestive of rheumatic fever or rheumatic heart disease

6. Physical examination findings such as systolic and diastolic murmurs consistent with aortic stenosis and insufficiency

7. Supporting diagnostic imaging or cardiac catheterization demonstrating nonrheumatic etiology

Relevant CPT codes that may be used to treat ICD code I35.2 include:

- 33405: Replacement, aortic valve, with cardiopulmonary bypass

- 33410: Valvuloplasty, aortic valve, with or without annuloplasty, with cardiopulmonary bypass

- 33411: Valvuloplasty, aortic valve, with or without annuloplasty, without cardiopulmonary bypass

- 33412: Replacement, aortic valve, with allograft

- 33415: Replacement, aortic valve, with homograft

- 33361: Transcatheter aortic valve replacement (TAVR/TAVI), percutaneous femoral artery approach

- 33362: Transcatheter aortic valve replacement (TAVR/TAVI), transapical exposure

- 33363: Transcatheter aortic valve replacement (TAVR/TAVI), transaortic exposure

- 93580: Percutaneous transcatheter closure of patent foramen ovale or atrial septal defect with implant

These CPT codes are commonly associated with the treatment of I35.2. Proper code selection should be based on the specific procedure performed.

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