ICD-10-CM Code I05.1

Rheumatic mitral insufficiency

Version 2021 Billable Code

Valid for Submission

I05.1 is a billable code used to specify a medical diagnosis of rheumatic mitral insufficiency. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code I05.1 might also be used to specify conditions or terms like rheumatic mitral regurgitation.

ICD-10:I05.1
Short Description:Rheumatic mitral insufficiency
Long Description:Rheumatic mitral insufficiency

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 guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code I05.1:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Rheumatic mitral incompetence
  • Rheumatic mitral regurgitation

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.
  • mitral insufficiency not specified as rheumatic I34.0

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code I05.1 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Rheumatic mitral regurgitation

Diagnostic Related Groups

The ICD-10 code I05.1 is grouped in the following groups for version MS-DRG V38.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2021.

  • 306 - CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC
  • 307 - CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC

Convert I05.1 to ICD-9

  • 394.1 - Rheumatic mitral insuff

Code Classification

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

Code History

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

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

  • Regurgitation - when blood leaks back through the valve in the wrong direction
  • Mitral valve prolapse - when one of the valves, the mitral valve, has "floppy" flaps and doesn't close tightly. It's one of the most common heart valve conditions. Sometimes it causes regurgitation.
  • Stenosis - when the valve doesn't open enough and blocks blood flow

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

  • Aortic insufficiency (Medical Encyclopedia)
  • Aortic stenosis (Medical Encyclopedia)
  • Aortic valve surgery - minimally invasive (Medical Encyclopedia)
  • Aortic valve surgery - open (Medical Encyclopedia)
  • Bicuspid aortic valve (Medical Encyclopedia)
  • Heart murmurs and other sounds (Medical Encyclopedia)
  • Heart valve surgery (Medical Encyclopedia)
  • Transcatheter aortic valve replacement (Medical Encyclopedia)
  • Tricuspid regurgitation (Medical Encyclopedia)

[Learn More]

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

  • Strep throat - a sore, red throat. Your tonsils may be swollen and have white spots on them.
  • Scarlet fever - an illness that follows strep throat. It causes a red rash on the body.
  • Impetigo - a skin infection
  • Toxic shock syndrome
  • Cellulitis and necrotizing fasciitis (flesh-eating disease)

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

  • Ecthyma (Medical Encyclopedia)
  • Erysipelas (Medical Encyclopedia)
  • Group B streptococcal septicemia of the newborn (Medical Encyclopedia)
  • Group B streptococcus - pregnancy (Medical Encyclopedia)
  • Perianal streptococcal cellulitis (Medical Encyclopedia)
  • Rheumatic fever (Medical Encyclopedia)
  • Scarlet fever (Medical Encyclopedia)
  • Strep throat (Medical Encyclopedia)
  • Streptococcal screen (Medical Encyclopedia)
  • Throat swab culture (Medical Encyclopedia)
  • Toxic shock syndrome (Medical Encyclopedia)

[Learn More]