ICD-10 Code for Valvular Heart Disease (VHD): Complete Code List
- BY Dr. Ajay Patel
- December 27, 2025
- 867 Views
This article is medically reviewed by Dr. Ajay Patel, MD, a Board-Certified Internal Medicine Physician (USA), for accuracy, clinical relevance, and adherence to current medical guidelines.
There is no single ICD-10 code that represents all valve disorders. The ICD-10 system classifies valvular conditions based on:
- The affected valve
- The underlying cause
- Whether the disease is rheumatic or nonrheumatic
Because of this structure, clinicians and coders must select codes carefully. Incorrect selection often leads to claim rejection or coding errors.
In clinical documentation, the term icd 10 code valvular heart disease usually refers to a group of diagnosis codes, not one code.
These codes fall under specific ICD-10 ranges.
Healthcare providers also use the phrase icd-10 code for valvular heart disease when searching for valve-specific classifications. The correct approach requires identifying the valve and disease origin first.
How ICD-10 Classifies Valvular Heart Disease
The ICD-10 system divides valve disorders into two major categories:
- Rheumatic valve disease
- Nonrheumatic valve disease
Each category uses different code ranges. This distinction plays a critical role in diagnosis coding.
The valvular heart disease icd 10 codes differ even when symptoms appear similar. Coding accuracy depends on cause, not severity alone.
Rheumatic Valve Disease ICD-10 Codes (I05–I09)
Rheumatic valve disease develops after rheumatic fever. It often affects multiple valves.
The ICD-10 range I05–I09 covers these conditions. Use these codes only when medical records confirm rheumatic origin.
Common Rheumatic Valve Codes
| ICD-10 Code | Condition Description |
|---|---|
| I05.0 | Rheumatic mitral stenosis |
| I05.1 | Rheumatic mitral insufficiency |
| I06.0 | Rheumatic aortic stenosis |
| I08.0 | Rheumatic disorders of both mitral and aortic valves |
| I09.9 | Unspecified rheumatic heart disease |
This group falls under rheumatic valve disease icd 10 (I05–I09). Never mix these codes with nonrheumatic diagnoses.
Nonrheumatic Valve Disease ICD-10 Codes (I34–I39)
Nonrheumatic valve disease accounts for most adult cases today. Age-related changes, calcification, and degeneration cause these conditions.
The ICD-10 range I34–I39 includes these disorders. This group also covers degenerative valve disease icd-10.
Common Nonrheumatic Valve Codes
| ICD-10 Code | Condition Description |
|---|---|
| I34.0 | Nonrheumatic mitral regurgitation |
| I34.2 | Nonrheumatic mitral stenosis |
| I35.0 | Nonrheumatic aortic stenosis |
| I35.1 | Nonrheumatic aortic insufficiency |
| I36.1 | Nonrheumatic tricuspid insufficiency |
This classification fits nonrheumatic valve disease icd 10 (I34–I39). Coders should avoid rheumatic codes when documentation does not confirm rheumatic fever.
Understanding Valve Disorders in ICD-10 Coding
Valve disorders fall into two main functional types:
- Stenosis – narrowing of the valve opening
- Regurgitation (insufficiency) – backward blood flow
This distinction matters during code selection. ICD-10 assigns different codes to each type.
Valve Stenosis vs Regurgitation
| Feature | Stenosis | Regurgitation |
|---|---|---|
| Valve motion | Restricted opening | Incomplete closure |
| Blood flow | Reduced forward flow | Backward leakage |
| ICD-10 coding | Separate codes | Separate codes |
This difference supports accurate valvular disease icd-10 reporting.
ICD-10 Codes for Aortic Valve Disease
The aortic valve often shows age-related changes. Calcification causes narrowing or leakage.
The ICD-10 system assigns separate codes based on pathology.
Aortic Valve ICD-10 Codes
| Condition | ICD-10 Code |
|---|---|
| Aortic stenosis | I35.0 |
| Aortic regurgitation | I35.1 |
| Combined aortic disease | I35.2 |
| Unspecified aortic disorder | I35.9 |
ICD-10 Codes for Mitral Valve Disease
The mitral valve frequently shows degenerative changes. Mitral disease appears with or without symptoms.
Mitral Valve ICD-10 Codes
| Condition | ICD-10 Code |
|---|---|
| Mitral regurgitation | I34.0 |
| Mitral stenosis | I34.2 |
| Other mitral disorders | I34.8 |
| Unspecified mitral disease | I34.9 |
These codes align with icd 10 code mitral regurgitation and icd 10 mitral stenosis code.
Some patients present with mitral valve prolapse icd-10, which also falls under nonrheumatic mitral classifications.
ICD-10 Codes for Tricuspid and Pulmonary Valve Disease
Right-sided valve disorders occur less often. ICD-10 still provides clear classifications.
| Valve | ICD-10 Code Range |
|---|---|
| Tricuspid valve disease | I36.* |
| Pulmonary valve disease | I37.* |
These codes support icd-10 code for tricuspid valve disease documentation.
Multiple Valve Disease in ICD-10
Some patients show involvement of more than one valve. ICD-10 includes specific codes for this condition.
| Condition | ICD-10 Code |
|---|---|
| Multiple valve disease | I08.* |
These entries cover icd 10 codes for multiple valve disease. Always document each valve clearly in clinical notes.
Valvular Heart Disease With Heart Failure: ICD-10 Coding Approach
Valvular disorders often progress to heart failure. Coding requires careful sequencing and accurate documentation.
When valve disease causes cardiac dysfunction, ICD-10 requires both conditions to appear in the diagnosis list. Coders must link heart failure to the valve disorder clearly.
How to Code Heart Failure Due to Valvular Disease in ICD-10
Heart failure may occur as a direct result of valve dysfunction. The provider must document the causal relationship. Use the valve disease code first. Report the heart failure code next.
Key Documentation Requirements
- Identify the affected valve
- Confirm rheumatic or nonrheumatic origin
- Specify heart failure type
- State the cause-and-effect relationship
Without clear documentation, payers may reject claims.
ICD-10 Codes Used for Heart Failure
ICD-10 classifies heart failure under the I50 category. Each code describes severity and type.
Common Heart Failure Codes
| ICD-10 Code | Description |
|---|---|
| I50.20 | Systolic heart failure, unspecified |
| I50.30 | Diastolic heart failure, unspecified |
| I50.40 | Combined systolic and diastolic heart failure |
| I50.9 | Heart failure, unspecified |
Use these codes when documenting congestive heart failure secondary to valve disease.
Coding Aortic Valve Disease With Heart Failure
Aortic valve disorders frequently progress to heart failure. Stenosis often causes pressure overload.
Regurgitation leads to volume overload.
Coding Example
| Diagnosis | ICD-10 Code |
|---|---|
| Nonrheumatic aortic stenosis | I35.0 |
| Heart failure | I50.20 |
This structure aligns with searches for which icd-10 code for aortic stenosis when heart failure exists. Always code the valve disorder before heart failure.
Coding Mitral Regurgitation With Heart Failure
Mitral regurgitation causes backward blood flow. Chronic leakage often leads to left-sided heart failure.
Proper Coding Sequence
| Diagnosis | ICD-10 Code |
|---|---|
| Nonrheumatic mitral regurgitation | I34.0 |
| Heart failure | I50.30 |
This method answers how to code mitral regurgitation with heart failure icd-10 accurately.
ICD-10 Coding for Multiple Valve Disease With Heart Failure
Some patients show involvement of more than one valve. ICD-10 provides combined valve codes.
Example Coding
| Diagnosis | ICD-10 Code |
|---|---|
| Multiple valve disease | I08.0 |
| Heart failure | I50.40 |
Clear documentation remains essential.
Rheumatic Valve Disease With Heart Failure
Rheumatic disease often affects several valves. It increases the risk of advanced heart failure.
Coding Structure
| Diagnosis | ICD-10 Code |
|---|---|
| Rheumatic mitral stenosis | I05.0 |
| Heart failure | I50.9 |
Never replace rheumatic codes with nonrheumatic alternatives.
Nonrheumatic Mitral Valve Disorders and Heart Failure
Nonrheumatic mitral disorders include stenosis, regurgitation, and mixed disease. Age-related changes commonly cause these conditions.
Coding Example
| Diagnosis | ICD-10 Code |
|---|---|
| Nonrheumatic mitral valve disorder | I34.9 |
| Heart failure | I50.20 |
Prosthetic Valve Dysfunction and Heart Failure
Patients with valve replacement may develop complications. ICD-10 classifies these issues separately.
Common Prosthetic Valve Codes
| ICD-10 Code | Description |
|---|---|
| T82.01 | Mechanical prosthetic valve failure |
| T82.02 | Biological prosthetic valve failure |
| T82.03 | Prosthetic valve obstruction |
Pair these with heart failure codes when clinical notes confirm functional decline.
Valve Disease With Endocarditis
Valve infection alters treatment and coding strategy. ICD-10 requires infection and valve involvement documentation.
Use appropriate endocarditis codes with valve-specific diagnoses. This approach covers endocarditis ICD-10 valve involvement scenarios.
Best ICD-10 Code Selection for Claims Accuracy
Correct coding reduces claim denial risk. Follow these steps consistently:
- Identify the valve involved
- Determine disease cause
- Assign valve-specific ICD-10 code
- Add heart failure code when present
- Verify documentation alignment
This process helps select the best icd-10 code for valvular disease in claims.
ICD-10 Documentation Rules for Valvular Heart Disease Coding
Accurate ICD-10 coding depends on strong documentation. Providers must describe the valve disorder clearly.
Coders should never assume the cause or valve type. Every detail must appear in the medical record.
For icd 10 code valvular heart disease, documentation must confirm:
- Valve involved
- Nature of dysfunction
- Disease origin
- Associated complications
This approach improves coding accuracy.
Required Clinical Details for ICD-10 Valve Coding
Mandatory Documentation Elements
| Documentation Element | Why It Matters |
|---|---|
| Valve name | Determines code range |
| Stenosis or regurgitation | Selects correct subcode |
| Rheumatic or nonrheumatic | Prevents miscoding |
| Disease severity | Supports specificity |
| Heart failure link | Allows secondary coding |
Missing any element increases denial risk. This rule applies to all icd-10 code for valvular disease selections.
Common ICD-10 Coding Errors in Valve Disease
Many coding issues arise from incomplete notes. These errors occur frequently in practice.
Frequent Mistakes
| Error | Impact |
|---|---|
| Using unspecified codes unnecessarily | Reduced reimbursement |
| Mixing rheumatic and nonrheumatic codes | Claim rejection |
| Missing valve identification | Audit risk |
| Incorrect sequencing | Payment delays |
Avoid these errors when reporting valvular disease icd-10 diagnoses.
ICD-10 Coding Pitfalls in Aortic Valve Disease
Aortic valve disease often appears undercoded. Coders sometimes ignore severity.
Correct Approach
| Condition | Correct Code | Common Error |
|---|---|---|
| Aortic stenosis | I35.0 | Using I35.9 |
| Aortic regurgitation | I35.1 | Using combined code |
These distinctions matter for icd-10 codes for aortic stenosis accuracy.
ICD-10 Coding Pitfalls in Mitral Valve Disease
Mitral disorders require careful classification. Documentation often lacks specificity.
Common Mitral Coding Issues
| Issue | Correct Action |
|---|---|
| Missing stenosis vs regurgitation | Clarify diagnosis |
| Unclear etiology | Confirm nonrheumatic |
| Mixed disease not specified | Use correct subcode |
This guidance supports accurate use of icd 10 code mitral regurgitation and icd 10 mitral stenosis code.
Multiple Valve Disease: ICD-10 Documentation Strategy
Multiple valve involvement must appear clearly. ICD-10 requires confirmation of each affected valve.
Documentation Checklist
| Requirement | Status |
|---|---|
| Each valve named | Mandatory |
| Functional abnormality | Required |
| Combined diagnosis stated | Essential |
This approach supports icd 10 codes for multiple valve disease selection.
Degenerative and Congenital Valve Disease Coding
Age-related degeneration causes many valve disorders. ICD-10 treats these as nonrheumatic.
Use appropriate codes for:
- Calcific valve disease
- Structural degeneration
This classification supports degenerative valve disease icd-10 usage.
Congenital valve defects require separate consideration. These conditions fall under congenital classifications.
Coding Valve Disorders With Overlapping Conditions
Some patients present with overlapping diagnoses. Coders must separate each condition.
| Condition | ICD-10 Code |
|---|---|
| Valve disease | I34.0 |
| Heart failure | I50.30 |
| Infection | Additional code |
This approach improves clarity for complex cases.
ICD-10 Coding for Endocarditis With Valve Involvement
Valve infections alter diagnosis selection. Documentation must state valve involvement.
Do not code valve disease alone. Always include infection-related codes.
This rule supports endocarditis ICD-10 valve involvement coding.
Clinical Documentation Tips for Providers
Providers can reduce coding errors with structured notes. Clear language supports clean claims.
Best Practices
- Name the valve
- Describe dysfunction
- Identify disease origin
- Link heart failure clearly
- Avoid vague terms
Summary of ICD-10 Coding Best Practices
Accurate coding requires:
- Clear documentation
- Proper sequencing
- Valve-specific diagnosis
- Cause confirmation
ICD-10 Valvular Heart Disease Code List (Quick Reference)
This section gives a consolidated view for fast lookup. It supports audits, billing, and clinical reviews.
ICD-10 Valvular Disease Code List
| Valve / Condition | ICD-10 Code Range | Notes |
|---|---|---|
| Rheumatic mitral valve disease | I05.* | Use only with rheumatic origin |
| Rheumatic aortic valve disease | I06.* | Confirm rheumatic history |
| Multiple rheumatic valve disease | I08.* | More than one valve involved |
| Nonrheumatic mitral disorders | I34.* | Includes regurgitation and stenosis |
| Nonrheumatic aortic disorders | I35.* | Covers stenosis and insufficiency |
| Nonrheumatic tricuspid disorders | I36.* | Right-sided valve disease |
| Pulmonary valve disorders | I37.* | Rare but specific |
| Other valve disorders | I38–I39 | Endocarditis-related or unspecified |
This table represents the icd-10 code valvular disease list used in practice.
How to Select the Best ICD-10 Code for Claims
Correct code selection improves claim acceptance. It also reduces payer queries.
Step-by-Step Code Selection Process
- Identify the valve involved
- Confirm stenosis or regurgitation
- Determine rheumatic or nonrheumatic cause
- Check for heart failure linkage
- Select the most specific code
ICD-10 Coding Checklist for Valvular Heart Disease
Use this checklist before claim submission.
| Checklist Item | Completed |
|---|---|
| Valve clearly documented | ☐ |
| Dysfunction type specified | ☐ |
| Etiology confirmed | ☐ |
| Heart failure linked | ☐ |
| Code specificity verified | ☐ |
Special Scenarios in Valvular Disease Coding
Some cases require extra attention. Coders must review notes carefully.
Prosthetic Valve Dysfunction
Valve replacement may fail over time. ICD-10 assigns separate complication codes.
Pair prosthetic valve codes with valve disorder codes only when documentation confirms dysfunction.
Valve Disease With Infection
Valve infection changes treatment plans. Coding must reflect infection and valve involvement together. Always include infection codes alongside valve codes.
Relationship Between Valve Disease and Heart Failure
Valve dysfunction often leads to cardiac overload. This overload progresses to failure if untreated. Documentation must confirm causation.
Frequently Asked Questions (FAQs)
What Is the ICD-10 Code for Valvular Heart Disease?
There is no single ICD-10 code for valvular heart disease. ICD-10 classifies valve disorders based on the affected valve and disease cause. Codes fall under rheumatic valve disease (I05–I09) and nonrheumatic valve disease (I34–I39). Accurate coding requires valve-specific diagnosis documentation.
Which ICD-10 Code Is Used for Aortic Stenosis?
The ICD-10 code for nonrheumatic aortic stenosis is I35.0. If documentation confirms a rheumatic cause, use codes from the I06 category instead. Always verify etiology before selecting the code, as rheumatic and nonrheumatic valve diseases follow different ICD-10 classifications.
How do you code heart failure due to valvular disease in ICD-10?
To code heart failure due to valvular disease in ICD-10, list the valve disorder first, followed by the appropriate heart failure code from the I50 category. Documentation must clearly state that valve disease caused the heart failure to support proper sequencing and claim accuracy.
What is the ICD-10 code for heart failure caused by valve disease?
There is no single ICD-10 code for heart failure caused by valve disease. Coders must report the valve disease code first, then add the applicable I50 heart failure code. Medical records must confirm a cause-and-effect relationship between the valve disorder and heart failure.
How Is Mitral Regurgitation With Heart Failure Coded?
Mitral regurgitation with heart failure requires dual coding. Use I34.0 for nonrheumatic mitral regurgitation, followed by the appropriate I50 heart failure code. Proper documentation must confirm that mitral valve dysfunction contributed directly to the development of heart failure.
What ICD-10 Code Applies to Multiple Valve Disease With Heart Failure?
Multiple valve disease with heart failure is coded using I08.* when the condition is rheumatic. Add the appropriate heart failure code from the I50 category after the valve code. Documentation must specify involvement of more than one valve and confirm heart failure linkage.
What Is the ICD-10 Code for Nonrheumatic Mitral Valve Disorder?
The ICD-10 code for nonrheumatic mitral valve disorder falls under the I34 category. The exact code depends on whether documentation specifies regurgitation, stenosis, or another abnormality. Avoid unspecified codes when clinical records clearly describe the valve condition.
What Is the ICD-10 Code for Rheumatic Mitral Stenosis?
The ICD-10 code for rheumatic mitral stenosis is I05.0. This code applies only when medical records confirm rheumatic origin. Do not use nonrheumatic mitral codes if the patient has a documented history of rheumatic heart disease.
Final Takeaway
Accurate ICD-10 coding for valve disorders depends on documentation quality. Always confirm the valve, dysfunction type, and disease origin.
