Find comprehensive information on mitral valve regurgitation, including clinical documentation, medical coding (ICD-10 I34.0, I34.1, I34.2, I34.8, I34.9), symptoms, causes, and treatment options. Learn about severe mitral regurgitation, mild mitral regurgitation, mitral valve prolapse, and the role of echocardiography in diagnosis. Explore resources for healthcare professionals on accurate documentation and coding for mitral regurgitation. Understand the importance of precise medical coding for optimal reimbursement and quality patient care. This resource covers key aspects of mitral regurgitation relevant for physicians, nurses, coders, and other healthcare providers.
Also known as
Chronic rheumatic heart diseases
Covers rheumatic mitral valve disorders, including regurgitation.
Nonrheumatic mitral valve disorders
Includes mitral regurgitation due to non-rheumatic causes.
Congenital mitral valve stenosis/atresia
While focusing on stenosis/atresia, can be relevant in complex cases with regurgitation.
Heart failure
Mitral regurgitation can lead to heart failure, requiring this code.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the mitral regurgitation acute?
Yes
Is it due to rheumatic fever?
No
Is it due to rheumatic heart disease?
When to use each related code
| Description |
|---|
| Mitral valve leaks during heart contraction. |
| Mitral valve narrowed, obstructing blood flow. |
| Mitral valve prolapse, leaflets bulge into atrium. |
Coding mitral regurgitation without specifying the underlying cause (rheumatic, degenerative, etc.) leads to inaccurate severity and reimbursement.
Documentation lacking specific details like jet size or left atrial enlargement can cause incorrect coding of regurgitation severity (mild, moderate, severe).
Failure to distinguish between acute and chronic mitral regurgitation can impact clinical documentation integrity and appropriate treatment coding.
Patient presents with symptoms suggestive of mitral valve regurgitation (MVR), including dyspnea, fatigue, and orthopnea. Physical examination reveals a holosystolic murmur at the apex, radiating to the axilla. The patient reports a history of [insert relevant past medical history, e.g., rheumatic fever, infective endocarditis, myocardial infarction, connective tissue disorder]. Echocardiography confirms the diagnosis of mitral regurgitation, demonstrating [specify echocardiographic findings, e.g., mitral leaflet prolapse, flail leaflet, annular dilatation, left atrial enlargement, left ventricular enlargement]. Severity of regurgitation is quantified as [mild, moderate, or severe] based on [specify criteria used for quantification, e.g., vena contracta width, regurgitant jet area, effective regurgitant orifice area]. Left ventricular ejection fraction (LVEF) is measured at [percentage]. The patient's New York Heart Association (NYHA) functional class is assessed as [Class I, II, III, or IV]. Differential diagnoses considered include [list relevant differentials, e.g., mitral valve stenosis, aortic stenosis, tricuspid regurgitation]. Assessment includes mitral regurgitation (ICD-10 code I05.1), with associated [list associated conditions and ICD-10 codes, e.g., heart failure (I50.9), atrial fibrillation (I48.91)]. Plan includes [outline treatment plan, e.g., medical management with diuretics and vasodilators, monitoring for disease progression, surgical intervention (mitral valve repair or replacement) if indicated]. Patient education provided on lifestyle modifications, medication adherence, and follow-up appointments. Return to clinic scheduled in [timeframe].