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ICD-10 Guide
ICD-10 CodesI34.8

I34.8

Non-billable

Other nonrheumatic mitral valve disorders

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 I34.8 is a used to indicate a diagnosis of other nonrheumatic mitral valve disorders.

Key Diagnostic Point:

I34.8 refers to other nonrheumatic mitral valve disorders, which encompass a variety of conditions affecting the mitral valve that are not caused by rheumatic fever. The mitral valve, located between the left atrium and left ventricle of the heart, plays a crucial role in maintaining unidirectional blood flow. Disorders may include mitral valve prolapse, degenerative changes, and other structural abnormalities. Clinically, patients may present with symptoms such as dyspnea, palpitations, fatigue, and in severe cases, heart failure. The disease progression can vary, with some patients remaining asymptomatic while others may experience significant hemodynamic compromise. Diagnostic considerations include echocardiography, which is essential for assessing valve structure and function, as well as identifying any associated regurgitation or stenosis. Additional imaging modalities may be utilized to evaluate the severity of the condition and guide treatment decisions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical evaluation to differentiate from other cardiac conditions.
  • Treatment complexity: Management may involve medical therapy, monitoring, or surgical intervention depending on severity.
  • Documentation requirements: Detailed clinical notes and imaging reports are necessary for accurate coding.
  • Coding specificity: Requires precise documentation to differentiate from other mitral valve disorders.

Audit Risk Factors

  • Common coding errors: Misclassification of mitral valve disorders or failure to specify the type of disorder.
  • Documentation gaps: Incomplete clinical notes or lack of imaging reports to support the diagnosis.
  • Billing challenges: Potential for denials if documentation does not clearly justify the use of I34.8.

Specialty Focus

Medical Specialties

Cardiology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Internal Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of I34.8 lies in its potential to lead to serious complications such as heart failure or arrhythmias if left untreated. Population health impact is notable, as mitral valve disorders can affect a significant portion of the aging population, leading to increased healthcare utilization patterns. Quality measures related to the management of mitral valve disorders are essential for improving patient outcomes and reducing morbidity associated with cardiovascular diseases.

ICD-9 vs ICD-10

The clinical significance of I34.8 lies in its potential to lead to serious complications such as heart failure or arrhythmias if left untreated. Population health impact is notable, as mitral valve disorders can affect a significant portion of the aging population, leading to increased healthcare utilization patterns. Quality measures related to the management of mitral valve disorders are essential for improving patient outcomes and reducing morbidity associated with cardiovascular diseases.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of thorough clinical notes and imaging reports that justify the use of this code. Common denials may arise from insufficient documentation or failure to provide clear evidence of the condition's impact on the patient's health. Best practices include ensuring that all relevant clinical findings are documented and that coding is specific to the patient's condition to avoid billing challenges.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by I34.8?

I34.8 covers various nonrheumatic mitral valve disorders, including but not limited to mitral valve prolapse, degenerative mitral valve disease, and other structural abnormalities not associated with rheumatic fever.

When should I34.8 be used instead of related codes?

I34.8 should be used when the mitral valve disorder does not fit the criteria for other specific codes such as I34.0 or I34.1, particularly when the condition is not rheumatic in origin and does not have a defined classification.

What documentation supports I34.8?

Documentation should include a thorough clinical evaluation, echocardiographic findings, and any relevant imaging studies that confirm the diagnosis of a nonrheumatic mitral valve disorder.