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ICD-10 Guide
ICD-10 CodesChapter 9: Diseases of the circulatory systemI08

I08

Non-billable

Multiple valve diseases

Chapter 9:Diseases of the circulatory system

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

Code Description

ICD-10 I08 is a used to indicate a diagnosis of multiple valve diseases.

Key Diagnostic Point:

Multiple valve diseases refer to the simultaneous involvement of two or more heart valves, which can lead to significant cardiovascular complications. The most commonly affected valves are the mitral, aortic, tricuspid, and pulmonary valves. Clinical presentation may vary from asymptomatic to severe heart failure, depending on the severity and type of valve disease. Symptoms often include dyspnea, fatigue, palpitations, and edema. The anatomy involved includes the heart chambers and the valves that regulate blood flow, which can become stenotic (narrowed) or regurgitant (leaky). Disease progression can lead to increased cardiac workload, left ventricular hypertrophy, and ultimately heart failure if not managed appropriately. Diagnostic considerations include echocardiography, which is essential for assessing valve structure and function, as well as cardiac MRI and CT scans for detailed anatomical visualization. Regular monitoring and timely intervention are crucial to prevent complications such as arrhythmias and thromboembolic events.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misidentifying the primary valve disease.
  • Documentation gaps may arise from insufficient clinical details on valve involvement.
  • Billing challenges can occur due to the need for extensive documentation to support the complexity of multiple valve diseases.

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

Cardiothoracic Surgery

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 CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Multiple valve diseases significantly impact clinical outcomes and healthcare utilization. They are associated with increased morbidity and mortality, necessitating frequent hospitalizations and interventions. Understanding the epidemiology of these conditions is essential for developing effective quality measures and improving population health strategies. As the population ages, the prevalence of multiple valve diseases is expected to rise, highlighting the need for ongoing research and resource allocation in cardiovascular care.

ICD-9 vs ICD-10

Multiple valve diseases significantly impact clinical outcomes and healthcare utilization. They are associated with increased morbidity and mortality, necessitating frequent hospitalizations and interventions. Understanding the epidemiology of these conditions is essential for developing effective quality measures and improving population health strategies. As the population ages, the prevalence of multiple valve diseases is expected to rise, highlighting the need for ongoing research and resource allocation in cardiovascular care.

Reimbursement & Billing Impact

Reimbursement may vary based on the severity of the disease and the interventions performed. Common denials can occur if documentation does not clearly support the diagnosis or if the coding does not reflect the complexity of the condition. Best practices include ensuring that all relevant clinical details are included in the medical record and that the coding accurately reflects the patient's condition and treatment plan.

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 I08?

I08 encompasses conditions such as mitral regurgitation combined with aortic stenosis, tricuspid regurgitation with mitral stenosis, and other combinations of valve diseases. It is essential to document the specific valves involved and the nature of the disease (stenosis or regurgitation) for accurate coding.

When should I08 be used instead of related codes?

I08 should be used when there is documented involvement of multiple heart valves. If only one valve is affected, the specific code for that valve disease should be used. It is crucial to differentiate between isolated and multiple valve diseases to ensure proper coding and reimbursement.

What documentation supports I08?

Documentation should include detailed clinical notes describing the patient's symptoms, diagnostic test results (e.g., echocardiograms), and any interventions performed. Clear identification of all affected valves and their functional status is necessary to support the use of I08.