I09.89
I09.89: Other specified rheumatic heart diseases
Billable / specific codeICD-10-CM
I09.89 is a billable, specific ICD-10-CM code for other specified rheumatic heart diseases. It is valid for submission on a claim.
Check I09.89 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Rheumatic disease of pulmonary valve
Other codes that can never be billed with I09.89
Their own Excludes1 notes name this code, so the conflict is not listed above.
- I37Nonrheumatic pulmonary valve disorders
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
I09.89 is named in 13 Medicare coverage policies: 13 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
- A56476Billing and Coding: Cardiac Radionuclide Imaging
Alphabetic index entries that lead here
- Pancarditis›rheumatic
- Rheumatic›chronic
- Endocarditis›pulmonary›rheumatic(chronic) (inactive) (with chorea)
- Hypertrophy, hypertrophic›cardiac›rheumatic(with chorea)
- Arteritis›coronary›rheumatic›chronic
- Disease, diseased›heart›rheumatic›specified NEC
- Disease, diseased›pulmonary›valve›rheumatic
- Endocarditis›pulmonary›with rheumatic fever›inactive or quiescent(with chorea)
- Fever›rheumatic›inactive or quiescent with›cardiac hypertrophy
- Fever›rheumatic›inactive or quiescent with›heart disease NEC
- Hypertrophy, hypertrophic›cardiac›with rheumatic fever›inactive or quiescent(with chorea)
- Insufficiency, insufficient›pulmonary›valve›rheumatic
Code history
Unchanged in every release from FY2024 to FY2027.