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Home/Diagnosis/ICD-10 Coding for Nonrheumatic Mitral Valve Regurgitation

ICD-10 Coding for Nonrheumatic Mitral Valve Regurgitation

I34.0
I34.1

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

Also Known as:
Mitral Insufficiency
Mitral Valve Incompetence
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Key Information: ICD-10 Coding for Nonrheumatic Mitral Valve Regurgitation

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

clinical:
  • • Echocardiogram shows nonrheumatic features
documentation:
  • • Explicit mention of 'nonrheumatic' in the medical record

Applicable To

  • • Nonrheumatic mitral valve regurgitation

Important Notes

  • • Ensure documentation explicitly states 'nonrheumatic' to avoid defaulting to rheumatic codes.

Mitral valve prolapse

Billable Code
I34.1
Billable

Diagnostic Criteria

clinical:
  • • Echocardiogram showing leaflet displacement >2mm
documentation:
  • • Documentation of prolapse

Applicable To

  • • Mitral valve prolapse with regurgitation

Important Notes

  • • Ensure prolapse is documented as nonrheumatic.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z00.6

Encounter for examination for normal comparison and control in clinical research program

Use as a secondary code when the patient is part of a clinical research program.

Frequently Asked Questions

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

The ICD-10 code for nonrheumatic mitral valve regurgitation is I34.0, used when the condition is confirmed as nonrheumatic and isolated to the mitral valve.

How do you document nonrheumatic mitral valve regurgitation?

Documentation must specify 'nonrheumatic' etiology and include echocardiogram findings to support the diagnosis, ensuring accurate coding.

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