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I34.81

I34.81: Nonrheumatic mitral (valve) annulus calcification

Billable / specific codeICD-10-CM

I34.81 is a billable, specific ICD-10-CM code for nonrheumatic mitral (valve) annulus calcification. It is valid for submission on a claim.

Check I34.81 with the rest of the claim: free scrubber

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

  • , if applicable:
  • nonrheumatic mitral (valve) insufficiency (I34.0)
  • nonrheumatic mitral (valve) stenosis (I34.2)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Nonrheumatic mitral (valve) annular calcification
  • Mitral (valve) annulus calcification NOS

Excludes1 inherited from the categories above I34.81

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 I34.81

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • I05Rheumatic mitral valve diseases

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

I34.81 is named in 17 Medicare coverage policies: 17 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
  • A56451Billing and Coding: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)

Alphabetic index entries that lead here

  • Calcification›mitral›annular
  • Calcification›mitral›annulus
  • Calcification›mitral›annular›nonrheumatic
  • Calcification›mitral›annulus›nonrheumatic

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under I34.8

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.