1. ICD-10-CM Codes
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2. I00-I99 Diseases of the circulatory system
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3. I05-I09 Chronic rheumatic heart diseases
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4. I09- Other rheumatic heart diseases
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2018 ICD-10-CM Diagnosis Code I09.89

Other specified rheumatic heart diseases

2016 2017 2018 Billable/Specific Code

• I09.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• The 2018 edition of ICD-10-CM I09.89 became effective on October 1, 2017.
• This is the American ICD-10-CM version of I09.89 - other international versions of ICD-10 I09.89 may differ.

• Pulmonary valve regurgitation
• Pulmonary valve regurgitation, rheumatic
• Pulmonary valve stenosis
• Pulmonary valve stenosis, rheumatic
• Rheumatic disease of pulmonary valve
• Rheumatic pulmonary valve insufficiency
• Rheumatic pulmonary valve stenosis

• 306 Cardiac congenital and valvular disorders with mcc
• 307 Cardiac congenital and valvular disorders without mcc

Convert I09.89 to ICD-9-CM

• 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

• Type 1 Excludes: I37
  ICD-10-CM Diagnosis Code I37

  Nonrheumatic pulmonary valve disorders

  2016 2017 2018 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • pulmonary valve disorder specified as congenital (Q22.1, Q22.2, Q22.3)
  • pulmonary valve disorder specified as rheumatic (I09.89)

• Arteritis I77.6
  ICD-10-CM Diagnosis Code I77.6

  Arteritis, unspecified

  2016 2017 2018 Billable/Specific Code

  Applicable To

  • Aortitis NOS
  • Endarteritis NOS

  Type 1 Excludes

  • arteritis or endarteritis:
  • aortic arch (M31.4)
  • cerebral NEC (I67.7)
  • coronary (I25.89)
  • deformans (I70.-)
  • giant cell (M31.5., M31.6)
  • obliterans (I70.-)
  • senile (I70.-)
  • coronary (artery) I25.89
    ICD-10-CM Diagnosis Code I25.89

    Other forms of chronic ischemic heart disease

    2016 2017 2018 Billable/Specific Code
    • rheumatic I01.8
      ICD-10-CM Diagnosis Code I01.8

      Other acute rheumatic heart disease

      2016 2017 2018 Billable/Specific Code

      Applicable To

      • Any condition in I00 with other or multiple types of heart involvement
      • Acute rheumatic pancarditis
      • chronic I09.89
• Disease, diseased - see also Syndrome
  • heart (organic) I51.9
    ICD-10-CM Diagnosis Code I51.9

    Heart disease, unspecified

    2016 2017 2018 Billable/Specific Code
    • with
      • rheumatic fever (conditions in I00)
        • inactive or quiescent (with chorea) I09.9
          ICD-10-CM Diagnosis Code I09.9

          Rheumatic heart disease, unspecified

          2016 2017 2018 Billable/Specific Code

          Applicable To

          • Rheumatic carditis

          Type 1 Excludes

          • rheumatoid carditis (M05.31)
          • specified NEC I09.89
    • rheumatic (chronic) (inactive) (old) (quiescent) (with chorea) I09.9
      ICD-10-CM Diagnosis Code I09.9

      Rheumatic heart disease, unspecified

      2016 2017 2018 Billable/Specific Code

      Applicable To

      • Rheumatic carditis

      Type 1 Excludes

      • rheumatoid carditis (M05.31)
      • specified NEC I09.89
  • pulmonary - see also Disease, lung
    • valve I37.9
      ICD-10-CM Diagnosis Code I37.9

      Nonrheumatic pulmonary valve disorder, unspecified

      2016 2017 2018 Billable/Specific Code
      • rheumatic I09.89
• Endocarditis (chronic) (marantic) (nonbacterial) (thrombotic) (valvular) I38
  ICD-10-CM Diagnosis Code I38

  Endocarditis, valve unspecified

  2016 2017 2018 Billable/Specific Code

  Includes

  • endocarditis (chronic) NOS
  • valvular incompetence NOS
  • valvular insufficiency NOS
  • valvular regurgitation NOS
  • valvular stenosis NOS
  • valvulitis (chronic) NOS

  Type 1 Excludes

  • congenital insufficiency of cardiac valve NOS (Q24.8)
  • congenital stenosis of cardiac valve NOS (Q24.8)
  • endocardial fibroelastosis (I42.4)
  • endocarditis specified as rheumatic (I09.1)
  • pulmonary (chronic) (heart) (valve) I37.8
    ICD-10-CM Diagnosis Code I37.8

    Other nonrheumatic pulmonary valve disorders

    2016 2017 2018 Billable/Specific Code
    • with rheumatic fever (conditions in I00)
      • inactive or quiescent (with chorea) I09.89
    • rheumatic (chronic) (inactive) (with chorea) I09.89
• Fever (inanition) (of unknown origin) (persistent) (with chills) (with rigor) R50.9
  ICD-10-CM Diagnosis Code R50.9

  Fever, unspecified

  2016 2017 2018 Billable/Specific Code

  Applicable To

  • Fever NOS
  • Fever of unknown origin [FUO]
  • Fever with chills
  • Fever with rigors
  • Hyperpyrexia NOS
  • Persistent fever
  • Pyrexia NOS
  • rheumatic (active) (acute) (chronic) (subacute) I00
    ICD-10-CM Diagnosis Code I00

    Rheumatic fever without heart involvement

    2016 2017 2018 Billable/Specific Code

    Includes

    • arthritis, rheumatic, acute or subacute

    Type 1 Excludes

    • rheumatic fever with heart involvement (I01.0 -I01.9)
    • inactive or quiescent with
      • endocarditis I09.1
        ICD-10-CM Diagnosis Code I09.1

        Rheumatic diseases of endocardium, valve unspecified

        2016 2017 2018 Billable/Specific Code

        Applicable To

        • Rheumatic endocarditis (chronic)
        • Rheumatic valvulitis (chronic)

        Type 1 Excludes

        • endocarditis, valve unspecified (I38)
        • pulmonary I09.89 (valve)
      • cardiac hypertrophy I09.89
      • heart disease NEC I09.89
• Hypertrophy, hypertrophic
  • cardiac (chronic) (idiopathic) I51.7
    ICD-10-CM Diagnosis Code I51.7

    Cardiomegaly

    2016 2017 2018 Billable/Specific Code

    Applicable To

    • Cardiac dilatation
    • Cardiac hypertrophy
    • Ventricular dilatation
    • with rheumatic fever (conditions in I00)
      • inactive or quiescent I09.89 (with chorea)
    • rheumatic (with chorea) I09.89
• Insufficiency, insufficient
  • pulmonary J98.4
    ICD-10-CM Diagnosis Code J98.4

    Other disorders of lung

    2016 2017 2018 Billable/Specific Code

    Applicable To

    • Calcification of lung
    • Cystic lung disease (acquired)
    • Lung disease NOS
    • Pulmolithiasis

    Type 1 Excludes

    • acute interstitial pneumonitis (J84.114)
    • pulmonary insufficiency following surgery (J95.1-J95.2)
    • valve I37.1
      ICD-10-CM Diagnosis Code I37.1

      Nonrheumatic pulmonary valve insufficiency

      2016 2017 2018 Billable/Specific Code

      Applicable To

      • Nonrheumatic pulmonary valve incompetence
      • Nonrheumatic pulmonary valve regurgitation
      • rheumatic I09.89
• Pancarditis (acute) (chronic) I51.89
  ICD-10-CM Diagnosis Code I51.89

  Other ill-defined heart diseases

  2016 2017 2018 Billable/Specific Code

  Applicable To

  • Carditis (acute)(chronic)
  • Pancarditis (acute)(chronic)
  • rheumatic I09.89
• Stenosis, stenotic (cicatricial) - see also Stricture
  • pulmonary (artery) (congenital) Q25.6
    ICD-10-CM Diagnosis Code Q25.6

    Stenosis of pulmonary artery

    2016 2017 2018 Billable/Specific Code POA Exempt

    Applicable To

    • Supravalvular pulmonary stenosis
    • valve I37.0
      ICD-10-CM Diagnosis Code I37.0

      Nonrheumatic pulmonary valve stenosis

      2016 2017 2018 Billable/Specific Code
      • rheumatic I09.89

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