I35.1 — Nonrheumatic aortic (valve) insufficiency
I35.1 is a billable, specific ICD-10-CM code for nonrheumatic aortic (valve) insufficiency. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Nonrheumatic aortic (valve) incompetence NOS
- Nonrheumatic aortic (valve) regurgitation NOS
Risk adjustment
I35.1 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.
Medicare coverage
I35.1 is named in 33 Medicare coverage policies — 33 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
How I35.1 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to I35.1.
- Austin Flint murmur(aortic insufficiency)
- Flint murmur(aortic insufficiency)
- Insufficiency, insufficient›aortic(valve)
- Murmur›Flint
- Insufficiency, insufficient›aortic›specified cause NEC
Related codes at this level
Codes that share I35. If I35.1 is not quite right, the correct code is usually one of these.
Questions about I35.1
- Is I35.1 a billable ICD-10-CM code?
- Yes. I35.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I35.1 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Other forms of heart disease (I30-I5A).