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Home/Diagnosis/ICD-10 Coding for Mitral Regurgitation

ICD-10 Coding for Mitral Regurgitation

I34.0
I05.1

Complete ICD-10-CM coding and documentation guide for icd-10 coding for mitral regurgitation includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Mitral Insufficiency
MR
mitral valve insufficiency
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Key Information: ICD-10 Coding for Mitral Regurgitation

Essential facts and insights about ICD-10 Coding for Mitral Regurgitation

Use ICD-10 code I34.0 for nonrheumatic mitral (valve) insufficiency, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Nonrheumatic mitral (valve) insufficiency

Billable Code
I34.0
Billable

Diagnostic Criteria

  • • Nonrheumatic etiology confirmed by echocardiogram

Applicable To

  • • Nonrheumatic mitral regurgitation

Important Notes

  • • Ensure documentation specifies nonrheumatic etiology.

Rheumatic mitral insufficiency

Billable Code
I05.1
Billable

Diagnostic Criteria

  • • History of rheumatic fever
  • • Echocardiogram showing mitral regurgitation

Applicable To

  • • Rheumatic mitral regurgitation

Important Notes

  • • Document rheumatic history clearly.
Ancillary Codes

Additional codes that may be used with this diagnosis

I50.9

Heart failure, unspecified

Use if heart failure is present with mitral regurgitation.

Z95.2

Presence of prosthetic heart valve

Use if the patient has a prosthetic mitral valve.

Frequently Asked Questions

What is the ICD-10 code for nonrheumatic mitral regurgitation?

The ICD-10 code for nonrheumatic mitral regurgitation is I34.0. This code is used when the condition is confirmed to be nonrheumatic.

How do you code rheumatic mitral regurgitation?

Rheumatic mitral regurgitation is coded as I05.1 in ICD-10, requiring a documented history of rheumatic fever.

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