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Mitral Valve Prolapse G023

Document
Last amended 
26 June 2015
Current RMA Instruments:
Reasonable Hypothesis SOP
43 of 2014
Balance of Probabilities SOP
44 of 2014
Changes from Previous Instruments:

SOP Bulletin 174

 ICD Coding:
  • 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.
Unconfirmed diagnosis

If, after applying the above information, you are unable to confirm the diagnosis, you should then seek medical officer advice about further investigation.