ICD-9 Code 391.1
Acute rheumatic endocarditis
Not Valid for Submission
391.1 is a legacy non-billable code used to specify a medical diagnosis of acute rheumatic endocarditis. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
ICD-9: | 391.1 |
Short Description: | Acute rheumatic endocard |
Long Description: | Acute rheumatic endocarditis |
Convert 391.1 to ICD-10
The following crosswalk between ICD-9 to ICD-10 is based based on the General Equivalence Mappings (GEMS) information:
- I01.1 - Acute rheumatic endocarditis
Code Classification
-
Diseases of the circulatory system (390–459)
-
Acute rheumatic fever (390-392)
- 391 Rheumatic fever with heart involvement
-
Acute rheumatic fever (390-392)
Information for Medical Professionals
Index to Diseases and Injuries
References found for the code 391.1 in the Index of Diseases and Injuries:
- Aortitis nonsyphilitic 447.6
- rheumatic SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Endocarditis acute rheumatic 391.1
- rheumatic SEE ALSO See Also
- Endocarditis chronic indeterminate interstitial marantic nonbacterial thrombotic residual sclerotic sclerous senile valvular 424.90
- acute or subacute 421.9
- rheumatic aortic mitral pulmonary tricuspid 391.1
- with chorea acute rheumatic Sydenham s 392.0
- rheumatic aortic mitral pulmonary tricuspid 391.1
- aortic heart nonrheumatic valve 424.1
- with
- mitral valve disease 396.9
- active or acute 391.1
- with chorea acute rheumatic Sydenham s 392.0
- bacterial 421.0
- active or acute 391.1
- mitral valve disease 396.9
- rheumatic chronic inactive 395.9
- with mitral valve disease 396.9
- active or acute 391.1
- with chorea acute rheumatic Sydenham s 392.0
- active or acute 391.1
- active or acute 391.1
- with chorea acute rheumatic Sydenham s 392.0
- with mitral valve disease 396.9
- with
- mitral chronic double fibroid heart inactive valve with chorea 394.9
- with
- aortic valve disease 396.9
- active or acute 391.1
- with chorea acute rheumatic Sydenham s 392.0
- active or acute 391.1
- aortic valve disease 396.9
- active or acute 391.1
- with chorea acute rheumatic Sydenham s 392.0
- bacterial 421.0
- with
- pulmonary chronic heart valve 424.3
- acute or subacute 421.9
- rheumatic 391.1
- with chorea acute rheumatic Sydenham s 392.0
- rheumatic 391.1
- rheumatic chronic inactive with chorea 397.1
- active or acute 391.1
- with chorea acute rheumatic Sydenham s 392.0
- active or acute 391.1
- acute or subacute 421.9
- rheumatic chronic inactive with chorea 397.9
- active or acute aortic mitral pulmonary tricuspid 391.1
- with chorea acute rheumatic Sydenham s 392.0
- active or acute aortic mitral pulmonary tricuspid 391.1
- tricuspid chronic heart inactive rheumatic valve with chorea 397.0
- active or acute 391.1
- with chorea acute rheumatic Sydenham s 392.0
- active or acute 391.1
- acute or subacute 421.9
- Fever 780.60
- rheumatic active acute chronic subacute 390
- with heart involvement 391.9
- endocarditis aortic mitral pulmonary tricuspid 391.1
- valvulitis 391.1
- with heart involvement 391.9
- rheumatic active acute chronic subacute 390
- Insufficiency insufficient
- mitral valve 424.0
- rheumatic 394.1
- active or acute 391.1
- with chorea rheumatic Sydenham s 392.0
- active or acute 391.1
- rheumatic 394.1
- mitral valve 424.0
- Stenosis cicatricial SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Stricture- mitral valve chronic inactive 394.0
- active or acute 391.1
- with chorea acute rheumatic Sydenham s 392.0
- active or acute 391.1
- mitral valve chronic inactive 394.0
- Valvulitis chronic SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Endocarditis 424.90- rheumatic chronic inactive with chorea 397.9
- active or acute aortic mitral pulmonary tricuspid 391.1
- rheumatic chronic inactive with chorea 397.9
Information for Patients
Endocarditis
Endocarditis, also called infective endocarditis (IE), is an inflammation of the inner lining of the heart. The most common type, bacterial endocarditis, occurs when germs enter your heart. These germs come through your bloodstream from another part of your body, often your mouth. Bacterial endocarditis can damage your heart valves. If untreated, it can be life-threatening. It is rare in healthy hearts.
Risk factors include having:
- An abnormal or damaged heart valve
- An artificial heart valve
- Congenital heart defects
The signs and symptoms of IE can vary from person to person. They also can vary over time in the same person. Symptoms you might notice include fever, shortness of breath, fluid buildup in your arms or legs, tiny red spots on your skin, and weight loss. Your doctor will diagnose IE based on your risk factors, medical history, signs and symptoms, and lab and heart tests.
Early treatment can help you avoid complications. Treatment usually involves high-dose antibiotics. If your heart valve is damaged, you may need surgery.
If you're at risk for IE, brush and floss your teeth regularly, and have regular dental checkups. Germs from a gum infection can enter your bloodstream. If you are at high risk, your doctor might prescribe antibiotics before dental work and certain types of surgery.
NIH: National Heart, Lung, and Blood Institute
[Read More]
Streptococcal Infections
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, intravenous (IV) antibiotics during labor can save your baby's life. Adults can also get group B strep infections, especially if they are 65 or older 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.
[Read More]
ICD-9 Footnotes
General Equivalence Map Definitions
The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
- Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
- No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
- Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.
Index of Diseases and Injuries Definitions
- And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
- Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
- Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
- Type 1 Excludes Notes - 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.
- Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- Inclusion terms - List of terms is included under some codes. 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.
- NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
- NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
- See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
- See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
- 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
- With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.