2026 ICD-10-CM Diagnosis Code I34.81Nonrheumatic mitral (valve) annulus calcification

ICD-10-CM CodesI00–I99I30-I5AI34

ICD-10-CM I34.81
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

I34.81 is a billable ICD-10-CM diagnosis code for nonrheumatic mitral (valve) annulus calcification. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 306 through 307. Coders also document this condition as abnormality of mitral valve annulus. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Nonrheumatic and unspecified valve disorders.

Code Identity

ICD-10-CM Code
I34.81
Billable Status
Yes — Valid for Submission
Code Describes
Nonrheumatic mitral (valve) annulus calcification
Short Description
Nonrheumatic mitral (valve) annulus calcification
Same as the full description in the CMS dataset.
Parent Code
Other nonrheumatic mitral valve disorders

Code Classification

ChapterI00–I99Diseases of the circulatory system
SectionI30-I5AOther forms of heart disease
CategoryI34Nonrheumatic mitral valve disorders
This CodeI34.81Nonrheumatic mitral (valve) annulus calcification

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Abnormality of mitral valve annulus
  • Calcification of mitral valve
  • Mitral valve annular calcification

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Nonrheumatic mitral (valve) annular calcification
  • Mitral (valve) annulus calcification NOS

Code Also

  • , if applicable:
  • nonrheumatic mitral valve insufficiency I34.0
  • nonrheumatic mitral valve stenosis I34.2

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Calcification
      • mitral (valve)
        • annular
    • Calcification
      • mitral (valve)
        • annular
          • nonrheumatic
    • Calcification
      • mitral (valve)
        • annulus
    • Calcification
      • mitral (valve)
        • annulus
          • nonrheumatic

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR CIR003
Nonrheumatic and unspecified valve disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Heart Valve Diseases

Heart valve disease happens when one or more of your heart valves don't work well.

The full article covers:

  • What are heart valve diseases?
  • What are the types of heart valve diseases?
  • What causes heart valve diseases?
  • Who is more likely to develop heart valve diseases?
  • What are the symptoms of heart valve diseases?
  • What other problems can heart valve diseases cause?
  • How is heart valve disease diagnosed?
  • What are the treatments for heart valve diseases?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Code History & ChangesHistory

Replacement I34.81 replaces the following previously assigned code(s):

  • I34.8 - Other nonrheumatic mitral valve disorders
FY 2023AddedAdded to the ICD-10-CM code setEffective October 1, 2022.
FY 2024–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About I34.81Overview

Is I34.81 (Other nonrheumatic mitral valve disorders) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report nonrheumatic mitral (valve) annulus calcification on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does I34.81 group to?

When nonrheumatic mitral (valve) annulus calcification is the principal diagnosis on an inpatient stay, it groups to MS-DRG 306, 307, with relative weights from 0.9132 to 1.5758 depending on complications. Higher weights mean higher Medicare reimbursement.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.