Nonrheumatic mitral (valve) annulus calcification
ICD-10 I34.81 is a billable code used to indicate a diagnosis of nonrheumatic mitral (valve) annulus calcification.
Nonrheumatic mitral valve annulus calcification (MAC) is characterized by the deposition of calcium in the annulus of the mitral valve, which can lead to functional impairment of the valve. Clinically, patients may present with symptoms of heart failure, such as dyspnea, fatigue, and palpitations, particularly in advanced cases. The mitral valve annulus is the fibrous ring that supports the mitral valve leaflets, and calcification can disrupt normal valve function, potentially leading to mitral regurgitation or stenosis. Disease progression may be asymptomatic initially, but as calcification increases, it can compromise hemodynamics and result in significant cardiovascular morbidity. Diagnostic considerations include echocardiography, which can visualize the degree of calcification and assess the functional status of the mitral valve. Other imaging modalities, such as CT scans, may also be utilized for detailed anatomical assessment. It is essential to differentiate MAC from rheumatic heart disease and other valvular pathologies to ensure appropriate management.
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
I34.81 specifically covers nonrheumatic mitral valve annulus calcification, which is distinct from rheumatic conditions and other valvular diseases. It is characterized by calcium deposits in the mitral valve annulus without a history of rheumatic fever.
I34.81 should be used when there is clear evidence of calcification of the mitral valve annulus without rheumatic involvement. It is important to differentiate it from other mitral valve disorders such as I34.0 and I34.2 based on clinical findings and imaging results.
Documentation should include clinical symptoms, results of echocardiography or other imaging studies showing calcification, and any functional impairment of the mitral valve. Detailed notes on the patient's history and any relevant comorbidities are also essential.
