Rheumatic multiple valve disease, unspecified
ICD-10 I08.9 is a billable code used to indicate a diagnosis of rheumatic multiple valve disease, unspecified.
Rheumatic multiple valve disease, unspecified, refers to a condition characterized by the involvement of multiple heart valves due to rheumatic fever, which is a complication of untreated streptococcal throat infection. Clinically, patients may present with symptoms such as dyspnea, fatigue, palpitations, and signs of heart failure. The anatomy involved typically includes the mitral and aortic valves, but other valves may also be affected. Disease progression can lead to chronic valvular heart disease, resulting in significant morbidity and mortality if left untreated. Diagnostic considerations include a thorough clinical history, physical examination, echocardiography, and possibly cardiac MRI to assess valve function and structure. Laboratory tests may reveal evidence of prior streptococcal infection, such as elevated antistreptolysin O (ASO) titers. Early diagnosis and management are crucial to prevent further cardiac damage and complications.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
I08.9 encompasses rheumatic involvement of multiple heart valves without specifying which valves are affected. It may include conditions such as rheumatic mitral stenosis, aortic regurgitation, and tricuspid involvement, all stemming from rheumatic fever.
I08.9 should be used when multiple valves are affected by rheumatic disease, and the specific valves involved are not documented. If specific valve conditions are documented, more specific codes should be utilized.
Documentation should include a clear history of rheumatic fever, clinical symptoms, echocardiographic findings indicating multiple valve involvement, and any relevant laboratory results that support the diagnosis.
