Sequence 13501, Bioprosthetic Valve Fracture Attempted, is a child field of sequence 13500 and can only be coded when a valve-in-valve procedure is selected. Sequence 13501 would be coded even if the attempted balloon valve fracture is unsuccessful. When coding, if the pre-implant valvuloplasty or post-implant dilatation uses lower pressure inflations, such as a hand inflation up to 4 atmospheres, please code NO. If the previously implanted bioprosthetic valve was fractured during the procedure, even though a balloon valve fracture was not planned, please code YES. When a balloon aortic valve fracture has been attempted or is successful, balloon valve fracture timing, sequence 13502, would be coded for either pre-implant, post-implant, or both. This is a check all that apply data element. Sequence 13503 seeks to indicate if the valve was observed to be fractured. Documentation to support coding can include any one of the following three items. Fluoroscopically by visualizing the waist of the balloon release, by an audible snap, or by a sudden drop in the balloon pressure in the absence of balloon rupture.

sequence 13501

valve-in-valve procedure

coding requirement

balloon valve fracture

lower pressure inflations