I08.9 — Rheumatic multiple valve disease, unspecified
I08.9 is a billable, specific ICD-10-CM code for rheumatic multiple valve disease, unspecified. It is valid for submission on a claim.
Excludes1 inherited from the categories above I08.9
These are not written on I08.9, but they bind it: a note on a category applies to every code beneath it. Billing I08.9 with anything listed here is a denial.
Excludes2 inherited from the categories above I08.9
Also inherited, and the opposite of Excludes1: these conditions are not part of I08.9, but a patient can have both, so you may code both.
Other codes that can never be billed with I08.9
These codes carry an Excludes1 note pointing at I08.9. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I08.9 alone.
Risk adjustment
I08.9 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
I08.9 is named in 16 Medicare coverage policies — 16 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
How I08.9 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to I08.9.
- Panvalvular disease
- Disease, diseased›panvalvular
- Endocarditis›multiple valves
- Disease, diseased›valve, valvular›multiple
Code history
I08.9 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share I08. If I08.9 is not quite right, the correct code is usually one of these.
Questions about I08.9
- Is I08.9 a billable ICD-10-CM code?
- Yes. I08.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I08.9 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Chronic rheumatic heart diseases (I05-I09).
- What cannot be coded together with I08.9?
- I08.9 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above I08.9 (I08) and apply to it just the same.