I09.9
I09.9: Rheumatic heart disease, unspecified
Billable / specific codeICD-10-CM
I09.9 is a billable, specific ICD-10-CM code for rheumatic heart disease, unspecified. It is valid for submission on a claim.
Check I09.9 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- rheumatoid carditis (M05.31)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Rheumatic carditis
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
I09.9 is named in 5 Medicare coverage policies: 5 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)
- A56476Billing and Coding: Cardiac Radionuclide Imaging
- A56625Billing and Coding: Echocardiography
Alphabetic index entries that lead here
- Disease, diseased›heart›rheumatic(chronic) (inactive) (old) (quiescent) (with chorea)
- Failure, failed›heart›rheumatic(chronic) (inactive)
- Fever›rheumatic›inactive or quiescent with›carditis
- Fever›rheumatic›inactive or quiescent with›pancarditis
- Disease, diseased›heart›with›rheumatic fever›inactive or quiescent(with chorea)
Code history
Unchanged in every release from FY2024 to FY2027.