1. ICD-10-CM Codes
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2. I00-I99
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3. I30-I5A
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4. I38-
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5. 2023 ICD-10-CM Diagnosis Code I38

2023 ICD-10-CM Diagnosis Code I38

Endocarditis, valve unspecified

2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

• I38 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• The 2023 edition of ICD-10-CM I38 became effective on October 1, 2022.
• This is the American ICD-10-CM version of I38 - other international versions of ICD-10 I38 may differ.

• Chf (congestive heart failure) due to valvular disease
• Congestive heart failure due to valvular disease
• Endocarditis
• Heart valve disorder
• Valvular heart disease

• Dysfunction of one of the cardiac valves with incomplete valve closure resulting in valvular regurgitation.
• Narrowing of the opening of one or more of the four valves of the heart.
• Regurgitation of the blood of the heart valves owning to imperfect closing, insufficiency or incompetency of the valves.

• 306 Cardiac congenital and valvular disorders with mcc
• 307 Cardiac congenital and valvular disorders without mcc
• 791 Prematurity with major problems
• 793 Full term neonate with major problems

Convert I38 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
• 2019 (effective 10/1/2018): No change
• 2020 (effective 10/1/2019): No change
• 2021 (effective 10/1/2020): No change
• 2022 (effective 10/1/2021): No change
• 2023 (effective 10/1/2022): No change

• Type 1 Excludes: I08
  , I08
  , I09.1
  , I33
  ICD-10-CM Diagnosis Code I08

  Multiple valve diseases

  2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

  Includes

  • multiple valve diseases specified as rheumatic or unspecified

  Type 1 Excludes

  • endocarditis, valve unspecified (I38)
  • multiple valve disease specified a nonrheumatic (I34.-, I35.-, I36.-, I37.-, I38.-, Q22.-, Q23.-, Q24.8-)
  • rheumatic valve disease NOS (I09.1)
  ICD-10-CM Diagnosis Code I08

  Multiple valve diseases

  2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

  Includes

  • multiple valve diseases specified as rheumatic or unspecified

  Type 1 Excludes

  • endocarditis, valve unspecified (I38)
  • multiple valve disease specified a nonrheumatic (I34.-, I35.-, I36.-, I37.-, I38.-, Q22.-, Q23.-, Q24.8-)
  • rheumatic valve disease NOS (I09.1)
  ICD-10-CM Diagnosis Code I09.1

  Rheumatic diseases of endocardium, valve unspecified

  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

  Applicable To

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

  Type 1 Excludes

  • endocarditis, valve unspecified (I38)
  ICD-10-CM Diagnosis Code I33

  Acute and subacute endocarditis

  2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • acute rheumatic endocarditis (I01.1)
  • endocarditis NOS (I38)

• Disease, diseased - see also Syndrome
  • valve, valvular I38
• Endocarditis (chronic) (marantic) (nonbacterial) (thrombotic) (valvular) I38
  • arteriosclerotic I38
• Hypertrophy, hypertrophic
  • heart (idiopathic) - see also Hypertrophy, cardiac
    • valve I38 - see also Endocarditis
• Insufficiency, insufficient
  • valve, valvular (heart) I38
• Stenosis, stenotic (cicatricial) - see also Stricture
  • heart valve I38 - see also Endocarditis
  • valve (cardiac) (heart) I38 - see also Endocarditis
• Stricture - see also Stenosis
  • heart - see also Disease, heart
    • valve I38 - see also Endocarditis

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