2025 ICD-10-CM code I08.8
(Active) Effective Date: N/A Diseases of the circulatory system - Chronic rheumatic heart diseases 9 Feed
Other rheumatic multiple valve diseases.
Medical necessity is established by the presence of signs and symptoms related to multiple valve dysfunction and a confirmed rheumatic etiology. The documentation must support the need for intervention or treatment based on the severity of the condition and its impact on the patient's overall health.
Diagnosis and management of this condition falls under the purview of cardiology.The cardiologist is responsible for assessing the severity of valve damage, determining appropriate treatment, and monitoring the patient's condition over time.
In simple words: This code describes a condition where more than one heart valve is affected by rheumatic heart disease, a complication of strep throat or scarlet fever.This specific code is used when the combination of affected valves isn't described by a more specific code.
Other rheumatic multiple valve diseases. Includes multiple valve diseases specified as rheumatic or unspecified.
Example 1: A patient with a history of rheumatic fever presents with shortness of breath and fatigue.Echocardiography reveals stenosis of both the mitral and aortic valves. As no other code captures this combination, I08.8 is used., A patient experiences worsening heart function years after a diagnosed episode of rheumatic fever.Tests show damage to the tricuspid and pulmonic valves, with rheumatic etiology documented. The combination of valve involvement is coded I08.8., A patient with known rheumatic heart disease is found to have mitral regurgitation and aortic stenosis during a routine checkup. The physician documents both as rheumatic in origin.This combination is coded as I08.8.
Documentation should clearly indicate the affected valves, the rheumatic nature of the disease, and the severity of the valvular dysfunction. Prior history of rheumatic fever or other related conditions should also be noted. Any diagnostic testing (such as echocardiography) supporting the diagnosis should be documented as well.
** Excludes1: endocarditis, valve unspecified (I38)rheumatic valve disease NOS (I09.1)Excludes2: multiple valve disease specified as nonrheumatic (I34.-, I35.-, I36.-, I37.-, I38.-, Q22.-, Q23.-, Q24.8-)
- Payment Status: Active
- Specialties:Cardiology
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Independent Clinic