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Home/Diagnosis/ICD-10 Coding for Valve Disease

ICD-10 Coding for Valve Disease

I05.0
I35.0

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

Also Known as:
Valvular Heart Disease
Heart Valve Disorder
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Key Information: ICD-10 Coding for Valve Disease

Essential facts and insights about ICD-10 Coding for Valve 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

  • • Confirmed history of rheumatic fever
  • • Echocardiographic evidence

Applicable To

  • • Mitral stenosis due to rheumatic fever

Important Notes

  • • Ensure documentation specifies rheumatic origin

Nonrheumatic aortic stenosis

Billable Code
I35.0
Billable

Diagnostic Criteria

  • • TTE showing aortic valve area ≤1.0 cm²
  • • Mean gradient ≥40 mmHg

Applicable To

  • • Calcific aortic stenosis

Important Notes

  • • Document calcific or degenerative changes clearly
Ancillary Codes

Additional codes that may be used with this diagnosis

I50.1

Left ventricular failure

Use if heart failure is present due to mitral stenosis

I50.9

Heart failure, unspecified

Use if heart failure is associated with aortic stenosis

Frequently Asked Questions

What is the ICD-10 code for rheumatic mitral stenosis?

The ICD-10 code for rheumatic mitral stenosis is I05.0, which requires documentation of rheumatic fever history and echocardiographic findings.

How do you code nonrheumatic aortic stenosis?

Nonrheumatic aortic stenosis is coded as I35.0, requiring echocardiographic evidence of stenosis and absence of rheumatic fever history.

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