2025 ICD-10-CM code I06
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the circulatory system - Chronic rheumatic heart diseases (I05-I09) Diseases of the circulatory system (I00-I99) Feed
Rheumatic aortic valve diseases.
Modifiers may be applicable depending on the circumstances of the encounter (e.g., place of service, type of service). Consult the most up-to-date coding guidelines for specific scenarios.
The medical necessity for coding I06 is established by the presence of clinical symptoms consistent with rheumatic aortic valve disease and confirmatory diagnostic testing, such as echocardiography or cardiac catheterization, demonstrating significant valve dysfunction that impairs cardiac function.
Cardiologist, Cardiac surgeon
In simple words: This code describes problems with the aortic heart valve caused by rheumatic fever, a condition that can damage the heart's valves. This can include narrowing of the valve (stenosis), leaking of the valve (insufficiency), or both.
This code encompasses diseases of the aortic valve caused by rheumatic fever.It includes rheumatic aortic stenosis, rheumatic aortic insufficiency, and combinations thereof, as well as other unspecified rheumatic aortic valve diseases.The code excludes aortic valve disease not specified as rheumatic (I35.-) and aortic valve disease with mitral and/or tricuspid valve involvement (I08.-).
Example 1: A 55-year-old patient presents with symptoms of shortness of breath and chest pain.Echocardiography reveals rheumatic aortic stenosis.The physician documents the diagnosis of I06.0., A 60-year-old patient with a history of rheumatic fever experiences increasing fatigue and dizziness.Cardiac catheterization demonstrates significant aortic regurgitation. The diagnosis is documented as I06.1., A 70-year-old patient undergoes cardiac surgery for replacement of a severely stenotic and regurgitant aortic valve due to rheumatic heart disease. The final diagnosis includes I06.2.
Detailed history of rheumatic fever, physical examination findings, echocardiogram report, cardiac catheterization report (if performed), and any other relevant diagnostic testing.
** Always refer to the latest version of the ICD-10-CM coding manual for the most accurate and up-to-date coding guidelines.This information is for guidance only and should not be considered a substitute for professional medical coding advice.
- Payment Status: Active
- Specialties:Cardiology, Cardiac surgery
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center