I34.0
I34.0: Nonrheumatic mitral (valve) insufficiency
Billable / specific codeICD-10-CM
I34.0 is a billable, specific ICD-10-CM code for nonrheumatic mitral (valve) insufficiency. It is valid for submission on a claim.
Check I34.0 with the rest of the claim: free scrubberCode also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- , if applicable:
- nonrheumatic mitral (valve) annulus calcification (I34.81)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Nonrheumatic mitral (valve) incompetence NOS
- Nonrheumatic mitral (valve) regurgitation NOS
Excludes1 inherited from the categories above I34.0
A category’s note binds every code beneath it.
Written on I34: Nonrheumatic mitral valve disorders
- 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 I34.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
I34.0 is named in 21 Medicare coverage policies: 21 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)
- A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Alphabetic index entries that lead here
- Insufficiency, insufficient›mitral(valve)
- Incompetency, incompetent, incompetence›annular›mitral(valve)
- Insufficiency, insufficient›mitral›specified cause, except rheumatic
Code history
Unchanged in every release from FY2024 to FY2027.