T82.228A

T82.228A: Other mechanical complication of biological heart valve graft, initial encounter

Billable / specific codeICD-10-CM

T82.228A is a billable, specific ICD-10-CM code for other mechanical complication of biological heart valve graft, initial encounter. It is valid for submission on a claim.

Check T82.228A with the rest of the claim: free scrubber

7th character "A": initial encounter

The appropriate 7th character is to be added to each code from category T82

A: initial encounter
D: subsequent encounter
S: sequela

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Obstruction of biological heart valve graft
Perforation of biological heart valve graft
Protrusion of biological heart valve graft

Excludes1 inherited from the categories above T82.228A

A category’s note binds every code beneath it.

Written on T82.2: Mechanical complication of coronary artery bypass graft and biological heart valve graft

mechanical complication of artificial heart valve prosthesis (T82.0-)

Excludes2 inherited from the categories above T82.228A

Not part of this code, but both may be coded when both are present.

Written on T82: Complications of cardiac and vascular prosthetic devices, implants and grafts

failure and rejection of transplanted organs and tissue (T86.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

T82.228A is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56602Billing and Coding: Cardiac Rhythm Device Evaluation
A56625Billing and Coding: Echocardiography
A56691Billing and Coding: Cardiac Computed Tomography & Angiography (CCTA)
A56781Billing and Coding: Transthoracic Echocardiography (TTE)

Code history

Unchanged in every release from FY2024 to FY2027.