I08Not billable, use a more specific code below

Multiple valve diseases

In Chronic rheumatic heart diseases (I05-I09), chapter 9: Diseases of the Circulatory System

6 billable codes under I08: none are a CC or MCC; none map to an HCC.

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Instructional notes

Includes: conditions that are coded here

  • multiple valve diseases specified as rheumatic or unspecified

Excludes1: not coded here, use a different code

  • endocarditis, valve unspecified (I38)
  • rheumatic valve disease NOS (I09.1)

Excludes2: not included here, code separately if applicable

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers hypertension with heart and kidney disease, coronary artery disease with angina, perioperative stroke, cerebrovascular sequelae, and acute myocardial infarction types and timing.

Read Section I.C.9 (page 50)

I08 MS-DRGs

As the principal diagnosis, all 6 billable codes under I08 group to MS-DRG 306 or 307 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to I08

Notes on these codes point to I08.

  • I05 Excludes1: mitral valve disease with aortic and/or tricuspid valve involvement (I08.-)
  • I06 Excludes2: aortic valve disease with mitral and/or tricuspid valve involvement (I08.-)
  • I07 Excludes1: tricuspid valve disease with aortic and/or mitral valve involvement (I08.-)
  • I27.22 Code Also: multiple valve disease (I08.-)
  • I34 Excludes1: mitral valve disorder of unspecified cause with diseases of aortic and/or tricuspid valve(s) (I08.-)
  • I35 Excludes2: aortic valve disorder of unspecified cause but with diseases of mitral and/or tricuspid valve(s) (I08.-)
  • I36 Excludes1: tricuspid valve disorders with aortic and/or mitral valve involvement (I08.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Heart Valve Diseases

Heart valve disease happens when one or more of your heart valves don't work well. Your heart has four valves: the tricuspid, pulmonary, mitral, and aortic valves. The valves have flaps that open and close. The flaps make sure that blood flows in the right direction through your heart and to the rest of your body. When your heart beats, the flaps open to let blood through. Between heartbeats they close to stop the blood from flowing backwards.

Read more about heart valve diseases on MedlinePlus

Streptococcal Infections

Strep is short for Streptococcus, a type of bacteria that often lives in your nose and throat. Most strep infections are mild, but some may become serious depending on your overall health.

Read more about streptococcal infections on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.