I34
I34 — Nonrheumatic mitral valve disorders
Non-billable headerICD-10-CM
I34 is a non-billable header ICD-10-CM code for nonrheumatic mitral valve disorders. 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 (I05.9)
- mitral valve failure (I05.8)
- mitral valve stenosis (I05.0)
- mitral valve disorder of unspecified cause with diseases of aortic and/or tricuspid valve(s) (I08.-)
- mitral valve disorder of unspecified cause with mitral stenosis or obstruction (I05.0)
- mitral valve disorder specified as congenital (Q23.2, Q23.9)
- mitral valve disorder specified as rheumatic (I05.-)
Other codes that can never be billed with I34
These codes carry an Excludes1 note pointing at I34. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I34 alone.
Risk adjustment
I34 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.
Code to one of these instead I34
5 child codes. Green means billable.
Questions about I34
- Is I34 a billable ICD-10-CM code?
- No. I34 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does I34 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Other forms of heart disease (I30-I5A).
- What cannot be coded together with I34?
- I34 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.