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Mitral Valve Prolapse G023
In this section
Current RMA Instruments:
|Reasonable Hypothesis SOP||43 of 2014|
|Balance of Probabilities SOP||44 of 2014|
Changes from Previous Instruments:
- ICD-9-CM Codes: 424.01
- ICD-10-AM Codes: I34.1
This is a problem of the mitral valve of the heart where the valve prolapses into the atrium during ventricular contraction.
Is specific diagnostic evidence required to apply the SOP? – Yes.
Echocardiography, with results meeting the specifications in the SOP definition is required for diagnosis. The relevant medical specialist is a cardiologist.
Are there sub-factors that require specific information? – No.
Additional diagnoses covered by SOP
- Floppy mitral valve.
- Mitral regurgitation in the presence of mitral valve prolapse but excluding other causes.
Conditions excluded from SOP
- Other valve disorders not affecting the mitral valve, such as aortic valve, tricuspid valve, pulmonary valve.
- Mitral stenosis.
- Mitral regurgitation in the absence of prolapse.
- Rheumatic disease affecting the mitral valve.
- Flail mitral valve leaflets.
If, after applying the above information, you are unable to confirm the diagnosis, you should then seek medical officer advice about further investigation.