T82.03XS
T82.03XS: Leakage of heart valve prosthesis, sequela
Billable / specific codeICD-10-CMPOA exempt
T82.03XS is a billable, specific ICD-10-CM code for leakage of heart valve prosthesis, sequela. It is valid for submission on a claim.
Check T82.03XS with the rest of the claim: free scrubber7th character "S": sequela
The appropriate 7th character is to be added to each code from category T82
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1 inherited from the categories above T82.03XS
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above T82.03XS
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
T82.03XS is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.