2025 ICD-10-CM code I08.0
Rheumatic disorders of both mitral and aortic valves.Involvement of both mitral and aortic valves specified as rheumatic or unspecified.
Medical necessity is established by the presence of symptomatic valvular dysfunction attributed to rheumatic heart disease impacting the both the mitral and aortic valves. This may include symptoms such as shortness of breath, chest pain, fatigue, or syncope. Diagnostic testing, such as echocardiography, is necessary to confirm the diagnosis and assess the severity of the valve dysfunction.
The physician is responsible for documenting the diagnosis of rheumatic involvement of both the mitral and aortic valves, specifying the type of disorder (e.g., stenosis, insufficiency) for each valve, and noting any causal relationship or temporal parameters.
In simple words: This code indicates a problem with both your mitral and aortic heart valves due to rheumatic heart disease.
Rheumatic disorders of both mitral and aortic valves. This code signifies the presence of both mitral and aortic valve disease where both are specified as rheumatic or unspecified.
Example 1: A patient presents with shortness of breath and fatigue. Upon examination and echocardiography, they are diagnosed with both mitral stenosis and aortic regurgitation, both attributed to a history of rheumatic fever., A patient with a known history of rheumatic heart disease develops symptoms consistent with valvular dysfunction. Echocardiography reveals both mitral and aortic valve insufficiency, with no other apparent cause identified., A patient with a past history of rheumatic fever is found to have both mitral and aortic valve stenosis on a routine echocardiogram, though they are currently asymptomatic.
Documentation should include the affected valves (mitral and aortic), the specific type of rheumatic disorder for each valve (e.g., stenosis, regurgitation, insufficiency), the temporal relationship of the conditions, and any causal relationship to rheumatic fever or other underlying conditions.
** Excludes1: endocarditis, valve unspecified (I38); multiple valve disease specified a nonrheumatic (I34.-, I35.-, I36.-, I37.-, I38.-, Q22.-, Q23.-, Q24.8-); rheumatic valve disease NOS (I09.1)
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- Specialties:Cardiology, Internal Medicine, Cardiovascular Surgery
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Independent Clinic, Federally Qualified Health Center