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Home/Diagnosis/ICD-10 Coding for Rheumatic Heart Disease

ICD-10 Coding for Rheumatic Heart Disease

I05.0
I09.81

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

Also Known as:
Rheumatic Valvular Disease
Rheumatic Carditis
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Key Information: ICD-10 Coding for Rheumatic Heart Disease

Essential facts and insights about ICD-10 Coding for Rheumatic Heart Disease

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 echocardiographic evidence of mitral stenosis with rheumatic features

Applicable To

  • • Mitral stenosis due to rheumatic fever

Important Notes

  • • Ensure documentation specifies rheumatic origin to avoid defaulting to non-rheumatic codes.

Rheumatic heart failure

Billable Code
I09.81
Billable

Diagnostic Criteria

  • • Documented link between heart failure and rheumatic heart disease

Applicable To

  • • Heart failure due to rheumatic heart disease

Important Notes

  • • Explicit documentation of the causal relationship is crucial.
Ancillary Codes

Additional codes that may be used with this diagnosis

I50.-

Heart failure

Use to specify type of heart failure if present.

Z86.79

Personal history of other diseases of the circulatory system

Use to document history of rheumatic fever.

Frequently Asked Questions

What is the ICD-10 code for rheumatic heart disease?

The ICD-10 code range for rheumatic heart disease is I05-I09, covering various rheumatic valvular and cardiac conditions.

How do you code rheumatic heart failure?

Code rheumatic heart failure as I09.81, ensuring documentation links heart failure to rheumatic disease.

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