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I38

Billable

Endocarditis, valve unspecified

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

What This Code Means

An infection and inflammation of the inner lining of the heart (endocardium) affecting one or more heart valves, but the specific valve involved is not identified.

Coding Tips

  • •This is a serious condition requiring identification of the causative organism when possible
  • •Always attempt to identify which valve is affected and the infectious agent to use more specific codes

Includes

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

Excludes 1 — Do NOT code together

  • 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)

Code Hierarchy

└I38Endocarditis, valve unspecified
└I38Endocarditis, valve unspecified

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