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Home/Diagnosis/ICD-10 Coding for Mitral Valve Disorder

ICD-10 Coding for Mitral Valve Disorder

I05.0
I34.0

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

Also Known as:
Mitral Valve Disease
Mitral Valve Insufficiency
Mitral Regurgitation
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Key Information: ICD-10 Coding for Mitral Valve Disorder

Essential facts and insights about ICD-10 Coding for Mitral Valve Disorder

Use ICD-10 code I05.0 for rheumatic mitral stenosis, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Rheumatic mitral stenosis

Billable Code
I05.0
Billable

Diagnostic Criteria

  • • Presence of rheumatic stigmata and stenosis on echo.

Applicable To

  • • Rheumatic mitral stenosis

Important Notes

  • • Ensure documentation specifies rheumatic origin.

Nonrheumatic mitral insufficiency

Billable Code
I34.0
Billable

Diagnostic Criteria

  • • Echo: Regurgitant volume ≥60 mL/beat, vena contracta ≥0.7 cm

Applicable To

  • • Degenerative mitral insufficiency

Important Notes

  • • Document specific echo findings.
Ancillary Codes

Additional codes that may be used with this diagnosis

I08.0

Rheumatic multiple valve disease

Use when multiple valves are involved with rheumatic etiology.

Z95.2

Presence of prosthetic mitral valve

Use post-valve replacement or repair.

Frequently Asked Questions

What is the ICD-10 code for mitral valve disorder?

The ICD-10 code for nonrheumatic mitral valve disorder is I34.0, while rheumatic mitral valve disorders are coded under I05.0-I05.9.

How do you differentiate between rheumatic and nonrheumatic mitral valve disorders?

Rheumatic disorders show history of rheumatic fever and specific echo findings, while nonrheumatic disorders are degenerative without rheumatic history.

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