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I09.9

Billable

Rheumatic heart disease, unspecified

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

What This Code Means

Chronic heart disease caused by rheumatic fever when the specific type or affected structures are not documented or identified.

Coding Tips

  • •This is the least specific rheumatic heart disease code; use only when documentation is insufficient for more specific coding
  • •Query the provider for clarification on the type and extent of rheumatic heart involvement

Excludes 1 — Do NOT code together

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