I05.8 Other rheumatic mitral valve diseases

BillableNo payment HCCChapter 9

Check coverage with this diagnosis

Instructional notes

Chapter 9

Excludes2Not included here: the patient may have both; report both when both are present.

certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
systemic connective tissue disorders (M30-M36)
transient cerebral ischemic attacks and related syndromes (G45.-)

I05

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.

mitral valve disease specified as nonrheumatic (I34.-)
mitral valve disease with aortic and/or tricuspid valve involvement (I08.-)

Includes

conditions classifiable to both I05.0 and I05.2-I05.9, whether specified as rheumatic or not

This code

Inclusion terms

Rheumatic mitral (valve) failure

Chapter 9: Diseases of the circulatory system · I05-I09 Chronic rheumatic heart diseases (I05-I09)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.