ICD-10-CM Billable Code

I35.1

Nonrheumatic aortic (valve) insufficiency

Clinical Classification Guidelines

Inclusion Terms

  • Nonrheumatic aortic (valve) incompetence NOS
  • Nonrheumatic aortic (valve) regurgitation NOS

Medical Intelligence & Overview

Nonrheumatic aortic valve insufficiency, also known as aortic regurgitation, is a condition where the aortic valve in the heart does not close properly, leading to blood leaking backward from the aorta into the heart. Unlike rheumatic heart disease, this condition is not caused by rheumatic fever and is often related to other factors that weaken or damage the valve. Recognizing the symptoms and understanding the causes can help in managing the condition effectively.

Causes & Symptoms

Clinical Causes: Degenerative valve changes due to aging Valve damage from infections other than rheumatic fever Congenital valve defects Injury to the heart or blood vessels Certain connective tissue disorders such as Marfan syndrome Dilation or enlargement of the aorta causing overstretching of the valve Previous heart surgeries or radiation therapy

Key Symptoms: Shortness of breath during exertion or when lying down Fatigue and weakness Heart palpitations or irregular heartbeat Swelling in the ankles, feet, or abdomen Chest discomfort or pain Dizziness or fainting spells A heart murmur that can be heard with a stethoscope

Diagnostic & Treatment

Diagnosis Path: To diagnose nonrheumatic aortic valve insufficiency, healthcare providers may perform several tests:

Treatment Protocols: Treatment options depend on the severity of the valve insufficiency and symptoms:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is I35.1 a billable ICD-10 code?
Yes, I35.1 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report I35.1?
Clinical documentation must specify the nature of Nonrheumatic aortic (valve) insufficiency and any associated comorbidities for accurate reporting.

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Related Diagnosis Codes

Clinical Meta Tags

insufficiency aortic nonrheumatic