I06.1

I06.1: Rheumatic aortic insufficiency

Billable / specific codeICD-10-CM

I06.1 is a billable, specific ICD-10-CM code for rheumatic aortic insufficiency. It is valid for submission on a claim.

Check I06.1 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Rheumatic aortic incompetence
Rheumatic aortic regurgitation

Excludes2 inherited from the categories above I06.1

Not part of this code, but both may be coded when both are present.

Written on I06: Rheumatic aortic valve diseases

aortic valve disease not specified as rheumatic (I35.-)
aortic valve disease with mitral and/or tricuspid valve involvement (I08.-)

Risk adjustment

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

Medicare coverage

I06.1 is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
A56476Billing and Coding: Cardiac Radionuclide Imaging
A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography

Alphabetic index entries that lead here

Insufficiency, insufficient›aortic›rheumatic

Code history

Unchanged in every release from FY2024 to FY2027.