2025 ICD-10-CM code I08
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the circulatory system - Chronic rheumatic heart diseases Diseases of the circulatory system (I00-I99) Feed
Multiple valve diseases, regardless of whether they are specified as rheumatic or of unspecified origin.
Modifiers may be applicable depending on the specific circumstances of the encounter and the services provided. Consult the CMS National Correct Coding Initiative (NCCI) edits for guidance on appropriate modifier usage.
The medical necessity for coding I08 would be established through documentation supporting the presence of multiple valvular diseases, as confirmed by diagnostic testing and clinical evaluation.The severity of the valvular dysfunction and its impact on the patient's functional capacity would also need to be documented.
Cardiologist
In simple words: This code is used when a person has problems with more than one heart valve.It covers situations where the cause is known to be rheumatic fever or when the cause is unknown.
This code encompasses multiple valve diseases, including those specified as rheumatic or of unspecified etiology.It includes disorders involving any combination of mitral, aortic, and tricuspid valves.The code does not include conditions explicitly identified as non-rheumatic, which would be coded separately.
Example 1: A 65-year-old patient presents with symptoms of heart failure, including shortness of breath and fatigue. Echocardiography reveals significant stenosis of both the mitral and aortic valves, consistent with rheumatic heart disease.The patient's history is suggestive of rheumatic fever in childhood., A 72-year-old patient with a history of hypertension and hyperlipidemia undergoes cardiac catheterization revealing significant stenosis of the aortic and tricuspid valves.There is no evidence of rheumatic disease., A 40-year-old patient with a history of untreated rheumatic fever in childhood presents with symptoms of palpitations and shortness of breath.Echocardiogram reveals mitral valve regurgitation and tricuspid valve stenosis.
Detailed history of present illness, including onset, duration, and character of symptoms; physical examination findings; results of echocardiography or other cardiac imaging studies showing valvular dysfunction; and relevant laboratory data.
** This code is frequently used in conjunction with other codes specifying the specific type and severity of valvular dysfunction for each affected valve.Always refer to the latest official ICD-10-CM coding guidelines for the most up-to-date information and clarifications.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Cardiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office