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ICD-10 Guide
ICD-10 CodesI08.8

I08.8

Billable

Other rheumatic multiple valve diseases

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

Code Description

ICD-10 I08.8 is a billable code used to indicate a diagnosis of other rheumatic multiple valve diseases.

Key Diagnostic Point:

I08.8 refers to 'Other rheumatic multiple valve diseases,' which encompasses a range of conditions affecting multiple heart valves due to rheumatic fever or other rheumatic diseases. 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 can also affect the tricuspid and pulmonary valves. Disease progression can lead to significant hemodynamic changes, resulting in complications like atrial fibrillation, pulmonary hypertension, and heart failure. Diagnostic considerations include echocardiography to assess valve function and morphology, as well as laboratory tests to identify underlying rheumatic disease. The condition may be chronic, requiring ongoing management and monitoring for potential surgical interventions such as valve repair or replacement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive evaluation of cardiac function and valve pathology.
  • Treatment complexity: Management may involve medical therapy and surgical options.
  • Documentation requirements: Detailed clinical documentation is necessary to support the diagnosis.
  • Coding specificity: Requires accurate coding to differentiate from other rheumatic heart diseases.

Audit Risk Factors

  • Common coding errors: Misclassification of valve involvement or failure to specify multiple valve disease.
  • Documentation gaps: Insufficient clinical details regarding the rheumatic etiology.
  • Billing challenges: Potential denials due to lack of clear linkage between symptoms and diagnosis.

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

Rheumatology

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

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CPT Code

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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

The clinical significance of I08.8 lies in its potential to lead to severe cardiovascular complications, impacting patient quality of life and increasing healthcare utilization. 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 management to prevent progression to heart failure, emphasizing the importance of awareness and timely intervention in affected populations.

ICD-9 vs ICD-10

The clinical significance of I08.8 lies in its potential to lead to severe cardiovascular complications, impacting patient quality of life and increasing healthcare utilization. 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 management to prevent progression to heart failure, emphasizing the importance of awareness and timely intervention in affected populations.

Reimbursement & Billing Impact

Reimbursement considerations include the need for clear linkage between the diagnosis and any procedures performed, such as valve repair or replacement. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for the services rendered. Best practices include thorough clinical notes, clear coding of all relevant conditions, and ensuring that all services are justified based on the patient's clinical presentation.

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 I08.8?

I08.8 includes conditions such as rheumatic involvement of multiple heart valves not classified elsewhere, which may arise from rheumatic fever or chronic rheumatic heart disease. It is essential to document the specific valves affected and the underlying rheumatic condition.

When should I08.8 be used instead of related codes?

I08.8 should be used when multiple valves are affected by rheumatic disease, and the specific conditions do not fit into the more narrowly defined codes for single valve involvement. Accurate assessment and documentation of valve pathology are crucial for appropriate code selection.

What documentation supports I08.8?

Documentation should include clinical findings from physical examinations, echocardiographic results, laboratory tests indicating rheumatic disease, and any relevant patient history that supports the diagnosis of multiple valve involvement due to rheumatic conditions.