Heart valve replaced by other means

This code indicates that a patient has a heart valve that has been replaced using a method other than a traditional surgical prosthetic implant. This typically refers to bioprosthetic or mechanical valves that have been implanted via transcatheter approaches, such as transcatheter aortic valve replacement (TAVR). It signifies the presence of an artificial heart valve that is not a standard surgical replacement.

This code is appropriate for patients who have undergone a heart valve replacement procedure using minimally invasive techniques, such as TAVR or transcatheter mitral valve repair/replacement (TMVR). It should be used when documenting the presence of such a device as a current health status or as a contributing factor to a patient's overall medical picture.

• Always specify the type of valve replaced (e.g., aortic, mitral) with an additional code if available and clinically documented.
• Do not use this code for surgically implanted prosthetic heart valves; use the appropriate code for surgical prostheses.
• Ensure documentation clearly states the valve was replaced by "other means" or specifies a transcatheter procedure.