ICD-10 Coding for Mild Mitral Regurgitation(I34.0)
Complete ICD-10-CM coding and documentation guide for Mild Mitral Regurgitation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Mild Mitral Regurgitation
I34-I39Primary Range
Nonrheumatic mitral valve disorders
This range includes codes for nonrheumatic mitral valve disorders, including mild mitral regurgitation.
Key Information: ICD-10 code for mild mitral regurgitation
Essential facts and insights about Mild Mitral Regurgitation
Primary ICD-10-CM Code for mild mitral regurgitation
Decision Criteria
clinical Criteria
- Echocardiogram confirms mild regurgitation with normal leaflet motion.
documentation Criteria
- Documentation specifies nonrheumatic etiology.
Applicable To
- Nonrheumatic mitral incompetence
- Nonrheumatic mitral regurgitation
Excludes
- Rheumatic mitral valve disorders (I05.-)
Clinical Validation Requirements
- Echocardiogram showing regurgitant volume <30 mL
- Vena contracta width <3 mm
- Normal leaflet morphology
Code-Specific Risks
- Misclassification with rheumatic mitral valve disorders
- Inadequate documentation of severity and etiology
Coding Notes
- Ensure documentation specifies nonrheumatic etiology and mild severity.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other nonrheumatic mitral valve disorders
I34.8Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Rheumatic mitral insufficiency
I05.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Mild Mitral Regurgitation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I34.0.
Impact
Clinical: Leads to lack of specificity in patient records., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Ensure detailed documentation of etiology and severity., Use specific codes when possible.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure documentation clearly states nonrheumatic etiology.
Impact
Failure to document nonrheumatic etiology.
Mitigation Strategy
Include detailed patient history and echocardiogram findings.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Mild Mitral Regurgitation, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Mild Mitral Regurgitation
Use these documentation templates to ensure complete and accurate documentation for Mild Mitral Regurgitation. These templates include all required elements for proper coding and billing.
Routine Cardiology Assessment
Specialty: CardiologyRequired Elements
- Mitral valve assessment
- Echocardiogram findings
- Symptom correlation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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