I05

I05: Rheumatic mitral valve diseases

Non-billable headerICD-10-CM

I05 is a non-billable header ICD-10-CM code for rheumatic mitral valve diseases. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

mitral valve disease specified as nonrheumatic (I34.-)
mitral valve disease with aortic and/or tricuspid valve involvement (I08.-)

Includes

Conditions this code covers.

conditions classifiable to both I05.0 and I05.2-I05.9, whether specified as rheumatic or not

Other codes that can never be billed with I05

Their own Excludes1 notes name this code, so the conflict is not listed above.

I01Rheumatic fever with heart involvement
I34Nonrheumatic mitral valve disorders

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead I05

5 child codes. Green means billable.