Valvular Heart Disease ICD-10-CM Codes

What ICD-10 Codes are Used for Valvular Heart Disease?

Valvular heart disease is a condition characterized by dysfunction or abnormalities in one or more heart valves. Proper coding is crucial for accurate medical documentation and billing. Below are six commonly used ICD-10-CM codes for various types of Valvular Heart Disease and their comprehensive clinical descriptions.

I05.0 - Rheumatic mitral stenosis

Narrowing of the mitral valve orifice due to rheumatic fever and subsequent scarring leads to reduced blood flow from the left atrium to the left ventricle.

I05.8 - Other rheumatic mitral valve diseases

Encompasses various rheumatic conditions affecting the mitral valve, such as regurgitation and prolapse, caused by rheumatic fever-induced damage.

I34.0 - Nonrheumatic mitral (valve) insufficiency

Refers to the incompetence of the mitral valve due to causes other than rheumatic, leading to backflow of blood from the left ventricle to the left atrium.

I35.0 - Nonrheumatic aortic (valve) stenosis

Narrowing of the aortic valve orifice is caused by factors other than rheumatic fever, impeding blood flow from the left ventricle to the aorta.

I35.8 - Other nonrheumatic aortic valve disorders

Covers various nonrheumatic conditions affecting the aortic valve, including aortic valve regurgitation and bicuspid aortic valve anomalies.

I37.0 - Nonrheumatic pulmonary valve stenosis

The pulmonary valve becomes narrowed due to causes unrelated to rheumatic fever, obstructing blood flow from the right ventricle to the pulmonary artery.

Which Valvular Heart Disease ICD Codes are Billable?

The following ICD-10-CM codes for Valvular Heart Disease are billable:

I05.0 - Rheumatic mitral stenosis 

Yes, this code is billable, as it specifies a rheumatic cause for mitral stenosis, and rheumatic heart disease is reimbursable.

I05.8 - Other rheumatic mitral valve diseases 

Yes, this code covers various rheumatic mitral valve disorders, all considered billable conditions.

I34.0 - Nonrheumatic mitral (valve) insufficiency 

Yes, nonrheumatic mitral insufficiency is billable, as it refers to mitral valve regurgitation caused by factors other than rheumatic fever.

I35.0 - Nonrheumatic aortic (valve) stenosis 

Yes, nonrheumatic aortic stenosis is billable, encompassing various causes of aortic valve narrowing unrelated to rheumatic fever.

I35.8 - Other nonrheumatic aortic valve disorders

Yes, this code covers different nonrheumatic aortic valve conditions, which are billable for proper reimbursement.

I37.0 - Nonrheumatic pulmonary valve stenosis

Yes, nonrheumatic pulmonary valve stenosis is billable, indicating pulmonary valve narrowing is not caused by rheumatic factors.

Clinical Information

• Valvular heart disease is a condition that affects the heart valves, impairing their normal functioning.
• Common types include aortic stenosis, aortic regurgitation, mitral stenosis, and mitral regurgitation.
• These conditions can be congenital or acquired due to age-related degeneration, infections (e.g., endocarditis), or rheumatic fever.
• Valvular heart disease may lead to symptoms like shortness of breath, chest pain, fatigue, and heart palpitations.
• A thorough medical history, physical examination, echocardiogram, and other imaging tests are used to diagnose the specific valve problem and its severity.
• Management depends on the severity of the disease, and options range from lifestyle changes and medications to valve repair or replacement surgery.
• Regular follow-up and monitoring are essential for individuals with valvular heart disease.
• Proper treatment and adherence to medical advice can improve symptoms, quality of life, and long-term outcomes.
• Preventive measures, such as managing risk factors and promptly treating infections, can help reduce the risk of developing valvular heart disease.

Synonyms Include

• Valvular heart disorder
• Heart valve disease
• Cardiac valve dysfunction
• Valvular heart condition
• Cardiac valve disorder