Use this cheat sheet to aid your non-congenital valve disorder coding
| Code | Descriptor | Role of ‘Rheumatic’
|
| MITRAL VALVE ONLY
|
||
| 394.0 | Mitral stenosis | Use if specified as rheumatic or unspecified. If specified as non-rheumatic, use 424.0. |
| 394.1 | Rheumatic mitral insufficiency | Specific to rheumatic cases. For others, use 424.0. |
| 394.2 | Mitral stenosis with insufficiency | Use if specified as rheumatic or unspecified. If specified as non-rheumatic, use 424.0. |
| 394.9 | Other and unspecified mitral valve disease | Use if specified as rheumatic or unspecified. If specified as non-rheumatic, use 424.0. |
| 424.0 | Mitral valve disorders | Use if specified as non-rheumatic. Also use for mitral insufficiency of unspecified cause. |
| AORTIC VALVE ONLY | ||
| 395.0 | Rheumatic aortic stenosis | Specific to rheumatic cases. For others, use 424.1. |
| 395.1 | Rheumatic aortic insufficiency | Specific to rheumatic cases. For others, use 424.1. |
| 395.2 | Rheumatic aortic stenosis with insufficiency | Specific to rheumatic cases. For others, use 424.1. |
| 395.9 | Other and unspecified rheumatic aortic diseases | Specific to rheumatic cases. For others, use 424.1. |
| 424.1 | Aortic valve disorders | Use if specified as non-rheumatic or unspecified. If specified as rheumatic, see 395.x. |
| BOTH MITRAL AND AORTIC VALVES
|
||
| 396.0 | Mitral valve stenosis and aortic valve stenosis | Use whether specified as rheumatic or not. |
| 396.1 | Mitral valve stenosis and aortic valve insufficiency | Use whether specified as rheumatic or not. |
| 396.2 | Mitral valve insufficiency and aortic valve stenosis | Use whether specified as rheumatic or not. |
| 396.3 | Mitral valve insufficiency and aortic valve
insufficiency |
Use whether specified as rheumatic or not. |
| 396.8 | Multiple involvement of mitral and aortic valves | Use whether specified as rheumatic or not. |
| 396.9 | Mitral and aortic valve diseases, unspecified | Use whether specified as rheumatic or not. |
| PULMONARY, TRICUSPID, OR UNSPECIFIED VALVE
|
||
| 397.0 | Diseases of tricuspid valve | Use if specified as rheumatic or unspecified. If specified as non-rheumatic, use 424.2. |
| 397.1 | Rheumatic diseases of pulmonary valve | Specific to rheumatic cases. For others, use 424.3. |
| 397.9 | Rheumatic diseases of endocardium, valve
unspecified |
Specific to rheumatic cases. For others, use 424.9x. |
| 424.2 | Tricuspid valve disorders, specified as
Non-rheumatic |
Specific to non-rheumatic cases. If specified as rheumatic or unspecified, use 397.0. |
| 424.3 | Pulmonary valve disorders | Use if specified as non-rheumatic or unspecified. If cause is specified as rheumatic, use 397.1. |
| 424.90 | Endocarditis, valve unspecified, unspecified cause | Use when both valve and cause are unspecified. |
