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ICD-10 Guide
ICD-10 CodesI08.2

I08.2

Billable

Rheumatic disorders of both aortic and tricuspid valves

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

Code Description

ICD-10 I08.2 is a billable code used to indicate a diagnosis of rheumatic disorders of both aortic and tricuspid valves.

Key Diagnostic Point:

Rheumatic disorders of both the aortic and tricuspid valves are characterized by inflammation and damage to these heart valves, typically resulting from rheumatic fever, a complication of untreated streptococcal throat infections. Clinically, patients may present with symptoms such as dyspnea, fatigue, palpitations, and signs of heart failure due to valvular dysfunction. The aortic valve, located between the left ventricle and aorta, and the tricuspid valve, situated between the right atrium and right ventricle, can both become stenotic or regurgitant due to rheumatic changes. Disease progression may lead to significant hemodynamic compromise, necessitating surgical intervention such as valve repair or replacement. Diagnostic considerations include echocardiography, which can assess valve morphology and function, and laboratory tests to identify streptococcal infection. Early detection and management are crucial to prevent long-term complications such as heart failure and arrhythmias.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive evaluation including echocardiography and clinical history.
  • Treatment complexity: May involve medical management and surgical interventions.
  • Documentation requirements: Detailed clinical documentation needed to support diagnosis and treatment.
  • Coding specificity: Requires accurate coding to differentiate from other rheumatic heart diseases.

Audit Risk Factors

  • Common coding errors: Misidentification of the primary valve involved.
  • Documentation gaps: Incomplete clinical history or lack of supporting diagnostic tests.
  • Billing challenges: Potential denials due to insufficient documentation or incorrect coding.

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

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ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of I08.2 lies in its potential to lead to severe cardiovascular complications if not managed appropriately. The population health impact is notable, as rheumatic heart disease remains prevalent in certain regions, particularly in developing countries. Quality measures focus on early diagnosis and treatment of streptococcal infections to prevent rheumatic fever. Healthcare utilization patterns may reflect increased hospital admissions for heart failure and surgical interventions, highlighting the importance of preventive care and effective management strategies.

ICD-9 vs ICD-10

The clinical significance of I08.2 lies in its potential to lead to severe cardiovascular complications if not managed appropriately. The population health impact is notable, as rheumatic heart disease remains prevalent in certain regions, particularly in developing countries. Quality measures focus on early diagnosis and treatment of streptococcal infections to prevent rheumatic fever. Healthcare utilization patterns may reflect increased hospital admissions for heart failure and surgical interventions, highlighting the importance of preventive care and effective management strategies.

Reimbursement & Billing Impact

reimbursement.

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 I08.2?

I08.2 covers rheumatic heart disease affecting both the aortic and tricuspid valves, including conditions such as rheumatic aortic stenosis and tricuspid regurgitation resulting from rheumatic fever.

When should I08.2 be used instead of related codes?

I08.2 should be used when both the aortic and tricuspid valves are affected by rheumatic disease, distinguishing it from codes that pertain to single valve involvement.

What documentation supports I08.2?

Documentation should include a detailed clinical history of rheumatic fever, echocardiographic findings demonstrating valve involvement, and any relevant laboratory tests confirming streptococcal infection.