2025 ICD-10-CM code I34
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cardiology - Other forms of heart disease Diseases of the circulatory system Feed
Nonrheumatic mitral valve disorders.
Not applicable to ICD-10 codes. Modifiers are used with procedural codes.
Medical necessity for the diagnosis and treatment of I34 hinges upon the clinical presentation, severity of symptoms, and potential impact on cardiovascular function.Evidence of symptoms such as shortness of breath, fatigue, or chest pain, coupled with objective findings from echocardiography or cardiac catheterization, is crucial for establishing medical necessity.
The clinical responsibility for managing I34 falls upon cardiologists, cardiac surgeons, and other healthcare professionals involved in diagnosing and treating heart valve disorders.This may involve echocardiography, cardiac catheterization, medication management, or surgical intervention depending on the severity and specific characteristics of the condition.
In simple words: This code describes problems with the mitral valve in your heart that aren't caused by rheumatic fever. The mitral valve helps control blood flow in your heart.Problems with this valve might involve narrowing, leaking, or other structural issues.
I34, Nonrheumatic mitral valve disorders, encompasses a range of conditions affecting the mitral valve that are not caused by rheumatic fever.These disorders can involve stenosis (narrowing), regurgitation (leakage), prolapse (displacement), or other structural abnormalities.The code excludes specific types of mitral valve disease, such as those caused by rheumatic fever or congenital conditions, which have their own specific ICD-10-CM codes.
Example 1: A 60-year-old patient presents with symptoms of shortness of breath and fatigue.Echocardiography reveals mitral valve regurgitation without evidence of rheumatic heart disease.The physician documents a diagnosis of nonrheumatic mitral valve regurgitation (I34.2)., A 75-year-old patient undergoes cardiac catheterization revealing mild mitral stenosis without a history of rheumatic fever.The physician documents the diagnosis as nonrheumatic mitral valve stenosis (I34.0)., A 45-year-old patient experiences chest pain and palpitations, and echocardiography reveals mitral valve prolapse.No evidence of rheumatic fever is noted in the patient's history.The diagnosis is documented as nonrheumatic mitral valve prolapse (I34.1).
Detailed patient history, including any symptoms and previous cardiac events.Echocardiogram report indicating the presence and nature of mitral valve dysfunction.Any relevant cardiac catheterization results.Documentation supporting the absence of rheumatic heart disease.
** Always refer to the most current version of the ICD-10-CM codebook for the most accurate and up-to-date information.
- Revenue Code: Revenue codes will vary depending on the specific services provided and the healthcare facility's coding system.Consult your facility's revenue code mapping for accurate assignment.
- RVU: RVUs are not directly assigned to ICD-10 codes.Reimbursement depends on the procedures performed and other factors, such as the place of service and the payer.
- Global Days: Not applicable to ICD-10 codes. Global periods are associated with procedural codes (e.g., CPT codes).
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes. Fee schedules are associated with procedural codes and vary by payer.
- Specialties:Cardiology, Cardiovascular Surgery
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center