Understanding Mild Mitral Regurgitation: Find information on diagnosis, treatment, and prognosis. Explore details on mitral valve prolapse, regurgitation grades, and echocardiogram interpretation. Learn about clinical documentation requirements, ICD-10 codes (I34.0, I34.8, I34.9), medical coding guidelines, and healthcare management for mild mitral regurgitation. This resource provides valuable insights for physicians, clinicians, and healthcare professionals.
Also known as
Chronic rheumatic heart diseases
Covers rheumatic mitral valve disorders, including regurgitation.
Nonrheumatic mitral valve disorders
Includes mitral valve prolapse and regurgitation of nonrheumatic origin.
Congenital mitral valve stenosis/atresia
While primarily stenosis/atresia, may be associated with regurgitation.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the mitral regurgitation acute?
Yes
Code I05.1 - Acute mitral regurgitation
No
Is it specified as nonrheumatic?
When to use each related code
| Description |
|---|
| Mild mitral valve leak |
| Moderate mitral regurgitation |
| Mitral valve prolapse |
Coding mitral regurgitation without specifying cause (e.g., rheumatic, degenerative) can lead to inaccurate severity and DRG assignment.
Documentation lacking specific echo findings may cause confusion between mild, moderate, or severe regurgitation, impacting reimbursement.
Coding mild, asymptomatic mitral regurgitation as the primary diagnosis instead of a secondary condition or underlying cause can inflate case severity.
Patient presents with mild mitral regurgitation (MR), confirmed by echocardiogram demonstrating a small central jet with minimal left atrial enlargement and normal left ventricular systolic function. Symptoms are minimal, reporting occasional palpitations and no dyspnea on exertion. Physical examination reveals a soft systolic murmur heard best at the apex, radiating to the axilla. Vital signs are stable. Electrocardiogram (ECG) shows normal sinus rhythm. Assessment includes mild mitral valve regurgitation, asymptomatic. Plan includes conservative management with regular cardiovascular monitoring, including repeat echocardiography in 12 months. Patient education provided regarding signs and symptoms of worsening mitral regurgitation, including shortness of breath, fatigue, and peripheral edema. Medical billing codes will reflect evaluation and management of mild mitral regurgitation, and ICD-10 coding will be utilized for documentation accuracy. Differential diagnosis included mitral valve prolapse and other valvular heart diseases. No indication for mitral valve repair or replacement at this time. Patient understands the plan and agrees to follow-up. Prognosis is excellent with appropriate monitoring.