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Cardiology Coding Alert

ICD-10:

394.2's Replacement Specifies 'Rheumatic' -- Get the Details Here

Published on Thu Apr 14, 2011

I05.2 offers a good lesson in why your superbill's font matters.Valve disease diagnosis codes are notoriously confusing. Get a head start on mastering these diagnoses under ICD-10 with a look at how one of your ICD-9 options will change when ICD-10 goes into effect in 2013. ICD-9-CM code: 394.2, Mitral stenosis with insufficiency ICD-10-CM code: I05.2, Rheumatic mitral stenosis with insufficiencyDx definition: Mitral stenosis refers to narrowing (stenosis) of the heart's mitral valve, which is situated between the left atrium and left ventricle. When the physician additionally documents insufficiency (or incompetence or regurgitation), you should consider the codes listed above. "Rheumatic" is a reference to rheumatic fever, a disease which may result in heart damage.Rheumatic: ICD-9 code 394.2 is not specific to "rheumatic" mitral stenosis with insufficiency. The ICD-10 descriptor for I05.2 includes the term "rheumatic," but the "includes" note under I05 (Rheumatic mitral valve disease) specifies that the range [...]
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