2025 ICD-10-CM code I05.8
(Active) Effective Date: N/A Diseases of the circulatory system - Chronic rheumatic heart diseases IX Feed
Other rheumatic mitral valve diseases.
Medical necessity is established by the presence of signs, symptoms, or physiological indicators of mitral valve dysfunction due to rheumatic heart disease.The need for further investigation, medical management, or intervention is determined by the severity of the dysfunction and its impact on the patient's overall health.
Diagnosis and management of chronic rheumatic heart disease impacting the mitral valve. This may involve assessment through physical examination, echocardiography, and other diagnostic tests, as well as medical or surgical intervention depending on the severity of the condition.
In simple words: This code describes a heart valve problem specifically affecting the mitral valve, caused by rheumatic fever.It indicates that the mitral valve isn't working correctly due to damage from this disease, but doesn't specify the exact nature of the dysfunction (like stenosis or insufficiency).
Other rheumatic mitral valve diseases. Rheumatic mitral (valve) failure
Example 1: A 60-year-old patient with a history of rheumatic fever presents with shortness of breath and fatigue. Echocardiography reveals mitral valve dysfunction, specifically rheumatic mitral valve failure, but no stenosis or insufficiency is identified specifically. The physician documents I05.8., A 45-year-old patient has known rheumatic heart disease and experiences worsening exertional dyspnea.An echocardiogram reveals an abnormality in the movement of the mitral valve due to previous rheumatic damage, but the precise dysfunction doesn't fit clearly into stenosis or insufficiency. I05.8 is used to describe this specific valvular issue., A patient with a long-standing history of rheumatic fever is seen for routine cardiac follow-up.Though the patient's mitral valve shows signs of rheumatic involvement on echocardiography, it does not meet the criteria for stenosis, insufficiency, or combined stenosis and insufficiency. The general rheumatic involvement of the mitral valve is coded as I05.8.
Documentation should include details about the patient's history of rheumatic fever, current symptoms, physical examination findings, and diagnostic test results, especially echocardiography findings. It's crucial to describe the specific dysfunction of the mitral valve (or the lack of specific dysfunction fitting neatly into other categories within I05.-). The affected valve and any associated functional impairment should be clearly documented.
** For proper coding, it’s important to distinguish this code from other, more specific rheumatic mitral valve disease codes (like I05.0 for stenosis, I05.1 for insufficiency, and I05.2 for combined stenosis and insufficiency).I05.8 is used when there is clear rheumatic involvement of the mitral valve, but the condition doesn't precisely meet the criteria of the other, more specific codes.
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- Specialties:Cardiology, Internal Medicine, Cardiovascular Surgery
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