2021 ICD-10-CM Code I05

Rheumatic mitral valve diseases

Version 2021

Not Valid for Submission

ICD-10:I05
Short Description:Rheumatic mitral valve diseases
Long Description:Rheumatic mitral valve diseases

Code Classification

  • Diseases of the circulatory system (I00–I99)
    • Chronic rheumatic heart diseases (I05-I09)
      • Rheumatic mitral valve diseases (I05)

I05 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of rheumatic mitral valve diseases. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding for Rheumatic mitral valve diseases

Non-specific codes like I05 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for rheumatic mitral valve diseases:

  • BILLABLE CODE - Use I05.0 for Rheumatic mitral stenosis
  • BILLABLE CODE - Use I05.1 for Rheumatic mitral insufficiency
  • BILLABLE CODE - Use I05.2 for Rheumatic mitral stenosis with insufficiency
  • BILLABLE CODE - Use I05.8 for Other rheumatic mitral valve diseases
  • BILLABLE CODE - Use I05.9 for Rheumatic mitral valve disease, unspecified

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code I05:


Includes

Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

Information for Patients


Heart Valve Diseases

Also called: Valvular heart disease

Your heart has four valves. Normally, these valves open to let blood flow through or out of your heart, and then shut to keep it from flowing backward. But sometimes they don't work properly. If they don't, you could have

Valve problems can be present at birth or caused by infections, heart attacks, or heart disease or damage. The main sign of heart valve disease is an unusual heartbeat sound called a heart murmur. Your doctor can hear a heart murmur with a stethoscope. But many people have heart murmurs without having a problem. Heart tests can show if you have a heart valve disease. Some valve problems are minor and do not need treatment. Others might require medicine, medical procedures, or surgery to repair or replace the valve.

NIH: National Heart, Lung, and Blood Institute


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Streptococcal Infections

Also called: Strep

Strep is short for Streptococcus, a type of bacteria. There are several types. Two of them cause most of the strep infections in people: group A and group B.

Group A strep causes

Group B strep can cause blood infections, pneumonia and meningitis in newborns. A screening test during pregnancy can tell if you have it. If you do, I.V. antibiotics during labor can save your baby's life. Adults can also get group B strep infections, especially if they are elderly or already have health problems. Strep B can cause urinary tract infections, blood infections, skin infections and pneumonia in adults.

Antibiotics are used to treat strep infections.

NIH: National Institute of Allergy and Infectious Diseases


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Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)