2019 ICD-10-CM Diagnosis Code I05.1

Rheumatic mitral insufficiency

    2016 2017 2018 2019 Billable/Specific Code
  • I05.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM I05.1 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of I05.1 - other international versions of ICD-10 I05.1 may differ.
Applicable To
  • Rheumatic mitral incompetence
  • Rheumatic mitral regurgitation
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as I05.1. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • mitral insufficiency not specified as rheumatic (
    ICD-10-CM Diagnosis Code I34.0

    Nonrheumatic mitral (valve) insufficiency

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Nonrheumatic mitral (valve) incompetence NOS
    • Nonrheumatic mitral (valve) regurgitation NOS
    I34.0
    )
The following code(s) above I05.1 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to I05.1:
  • I00-I99
    2019 ICD-10-CM Range I00-I99

    Diseases of the circulatory system

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    • systemic connective tissue disorders (M30-M36)
    • transient cerebral ischemic attacks and related syndromes (G45.-)
    Diseases of the circulatory system
  • I05
    ICD-10-CM Diagnosis Code I05

    Rheumatic mitral valve diseases

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Includes
    • conditions classifiable to both I05.0 and I05.2-I05.9, whether specified as rheumatic or not
    Type 1 Excludes
    • mitral valve disease specified as nonrheumatic (I34.-)
    • mitral valve disease with aortic and/or tricuspid valve involvement (I08.-)
    Rheumatic mitral valve diseases
Approximate Synonyms
  • Mitral regurgitation
  • Rheumatic mitral regurgitation
ICD-10-CM I05.1 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 306 Cardiac congenital and valvular disorders with mcc
  • 307 Cardiac congenital and valvular disorders without mcc

Convert I05.1 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change

Diagnosis Index entries containing back-references to I05.1:
  • Insufficiency, insufficient
    • mitral (valve) I34.0
      ICD-10-CM Diagnosis Code I34.0

      Nonrheumatic mitral (valve) insufficiency

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Nonrheumatic mitral (valve) incompetence NOS
      • Nonrheumatic mitral (valve) regurgitation NOS

ICD-10-CM Codes Adjacent To I05.1
I01.0 Acute rheumatic pericarditis
I01.1 Acute rheumatic endocarditis
I01.2 Acute rheumatic myocarditis
I01.8 Other acute rheumatic heart disease
I01.9 Acute rheumatic heart disease, unspecified
I02 Rheumatic chorea
I02.0 Rheumatic chorea with heart involvement
I02.9 Rheumatic chorea without heart involvement
I05 Rheumatic mitral valve diseases
I05.0 Rheumatic mitral stenosis
I05.1 Rheumatic mitral insufficiency
I05.2 Rheumatic mitral stenosis with insufficiency
I05.8 Other rheumatic mitral valve diseases
I05.9 Rheumatic mitral valve disease, unspecified
I06 Rheumatic aortic valve diseases
I06.0 Rheumatic aortic stenosis
I06.1 Rheumatic aortic insufficiency
I06.2 Rheumatic aortic stenosis with insufficiency
I06.8 Other rheumatic aortic valve diseases
I06.9 Rheumatic aortic valve disease, unspecified
I07 Rheumatic tricuspid valve diseases

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.