2025 ICD-10-CM code I34.81
Nonrheumatic mitral (valve) annulus calcification. Mitral (valve) annulus calcification NOS.
The diagnosis of nonrheumatic mitral annulus calcification (I34.81) needs to be supported by clear clinical findings. The medical necessity for any subsequent investigations or interventions will be determined by the severity of the calcification and the presence of associated symptoms or complications. Mild or asymptomatic cases might only require monitoring, while more severe cases might necessitate further investigations to rule out other underlying conditions or interventions to manage symptoms or prevent complications.
Diagnosis and management of this condition falls under the purview of cardiology. The cardiologist will assess the severity of the calcification and its impact on the mitral valve's function. Treatment options, if necessary, will be determined based on the individual patient's presentation and overall health.
In simple words: Calcium deposits in the ring surrounding the mitral valve of the heart, not caused by rheumatic fever.
Nonrheumatic mitral (valve) annulus calcification. Nonrheumatic mitral (valve) annular calcification.
Example 1: A 70-year-old female presents with shortness of breath and fatigue. Upon examination, an echocardiogram reveals nonrheumatic mitral annulus calcification. As of December 1st, 2024, this condition is documented using the ICD-10-CM code I34.81., A patient with a history of heart murmur undergoes a cardiac checkup. Diagnostic imaging shows mitral annular calcification, but no other valvular abnormalities. In the absence of rheumatic fever history, the diagnosis is coded as I34.81, reflecting the nonrheumatic nature of the condition, as of December 1st, 2024., During a routine physical, a middle-aged man with no prior cardiac complaints is found to have incidental mitral annulus calcification on echocardiography. The asymptomatic nature of the finding, along with the absence of any other valvular or systemic disease, warrants coding with I34.81 (as of December 1st, 2024), representing isolated, nonrheumatic mitral annular calcification.
Thorough documentation of the diagnostic findings, usually obtained through echocardiography or other imaging techniques, is essential for accurate coding. Any associated symptoms, such as shortness of breath, chest pain, or fatigue, should also be documented. The medical record should clearly indicate the absence of rheumatic fever to justify the use of I34.81. If there are other related cardiac conditions, such as mitral stenosis or insufficiency, these should also be noted and coded accordingly.
** Excludes1: mitral valve disease (I05.9), mitral valve failure (I05.8), mitral valve stenosis (I05.0), mitral valve disorder of unspecified cause with diseases of aortic and/or tricuspid valve(s) (I08.-), mitral valve disorder of unspecified cause with mitral stenosis or obstruction (I05.0), mitral valve disorder specified as congenital (Q23.2, Q23.9), mitral valve disorder specified as rheumatic (I05.-)
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