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I05.9

Billable

Rheumatic mitral valve disease, unspecified

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Heart valve damage of the mitral valve caused by rheumatic fever when the specific type is not documented or specified.

Coding Tips

  • This is a non-specific code; query the provider if stenosis, insufficiency, or other specific valve condition can be determined
  • Avoid using this code if documentation supports a more specific I05 code

Code Hierarchy

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