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.

ICD-10 Coding for Valve Disease(I05.0, I06.0, I34.2)

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Explore detailed ICD-10 coding guidelines for valve disease, including rheumatic and nonrheumatic conditions. Learn about documentation requirements and common coding pitfalls.

Also known as:

Valvular Heart DiseaseHeart Valve Disorder

Related ICD-10 Code Ranges

Complete code families applicable to Valve Disease

I00-I99Primary Range

Diseases of the circulatory system

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
I05.0	Rheumatic mitral stenosis	Use when mitral stenosis is confirmed to be rheumatic in origin.	History of rheumatic fever TTE showing mitral valve area ≤1.5 cm²
I35.0	Nonrheumatic aortic stenosis	Use for aortic stenosis not related to rheumatic fever.	TTE showing aortic valve area ≤1.0 cm² Mean gradient ≥40 mmHg

Primary ICD-10-CM Codes

Rheumatic mitral stenosis

I05.0Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Nonrheumatic mitral stenosisI34.2

Rheumatic aortic stenosisI06.0

Documentation & Coding Risks

Avoid these common issues when documenting Valve Disease.

Using unspecified codes like I35.9.

Impact

Clinical: Leads to inadequate treatment planning., Regulatory: Increases risk of audit issues., Financial: May result in denied claims.

Mitigation

Ensure detailed documentation of valve condition., Use specific codes whenever possible.

Misclassification of rheumatic vs. nonrheumatic valve disease.

Impact

Reimbursement: Incorrect DRG assignment leading to reimbursement issues., Compliance: Potential for audit discrepancies., Data Quality: Inaccurate clinical data affecting patient care.

Mitigation

Ensure clear documentation of etiology and history of rheumatic fever.

Unspecified valve disease coding

Impact

Use of unspecified codes can trigger audits.

Mitigation

Ensure comprehensive documentation of valve disease specifics.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with I05.0.

Primary Code

I05.0

Rheumatic mitral stenosis

Quick Navigation

ICD-10 codes7

Coding risks3

FAQs2

ICD-10 Coding for Valve Disease(I05.0, I06.0, I34.2)

Documentation & Coding Risks

Frequently Asked Questions

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

How do you code nonrheumatic aortic stenosis?

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