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I08 ICD-10-CM Code: Multiple valve diseases

ICD-10-CM Code View

HCC Buddy Code Card

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FY 2026 Apr update / Diseases of the circulatory system (I00-I99) / Chronic rheumatic heart diseases (I05-I09)

I08

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Multiple valve diseases

Multiple valve diseases

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
I0Chronic rheumatic heart diseases (I05-I09)
I08Multiple valve diseases

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for I08 in this effective period.

Excludes 2

Official
  • multiple valve disease specified as nonrheumatic (I34.-, I35.-, I36.-, I37.-, I38.-, Q22.-, Q23.-, Q24.8-)

Related Child Codes

Official
I08.0Rheumatic disorders of both mitral and aortic valves
I08.1Rheumatic disorders of both mitral and tricuspid valves
I08.2Rheumatic disorders of both aortic and tricuspid valves
I08.3Combined rheumatic disorders of mitral, aortic and tricuspid valves
I08.8Other rheumatic multiple valve diseases

Includes

Official
  • multiple valve diseases specified as rheumatic or unspecified

Excludes 1

Official
  • endocarditis, valve unspecified (I38)
  • rheumatic valve disease NOS (I09.1)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for I08 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for I08 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for I08 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
I08
Description
Multiple valve diseases
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

I08 is the ICD-10-CM diagnosis code for multiple valve diseases. I08 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering chronic rheumatic heart diseases (i05-i09).

Header codes like I08 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at I08's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for I08 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • multiple valve diseases specified as rheumatic or unspecified

Excludes 1, Do NOT code together

  • endocarditis, valve unspecified (I38)
  • rheumatic valve disease NOS (I09.1)

Excludes 2, Not included here, may code separately

Child Codes

Code Hierarchy

I08Multiple valve diseases
I08Multiple valve diseases

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