RMC’s AHIMA Approved ICD-10 Trainers meet multiple times per week fielding questions from clients and staff.  Below is an actual question that was submitted, along with our team’s response.*

Coding Question:  What is a good ICD 10 code for ‘valvular heart disease’?  the codebook and the encoder take you to I38-endocarditis which is a c/c. 

Endocarditis is inflammation of the heart’s inner lining, endocardium, usually caused by bacteria.  I really don’t like this.  Is there a better code?

RMC Answer:  Because the index leads the coder to I38, RMC agrees with this code.  I38 encompasses other valvular conditions ( endocarditis, valvular incompetence, valvular insufficiency, valvular regurgitation, valvular stenosis and valvulitis)  These are all NOS codes.  When there is nothing more specific in the documentation, you must code this way.

Let us know your thoughts! We want YOU to join the conversation! Submit YOUR questions at codingquestions@rmcinc.org

*Every effort has been made to answer these questions to the best of RMC’s abilities, at the time the original question was submitted.  Answers should not be considered official coding advice, and we always encourage conversation and dialogue regarding our responses.  As best practice policy, always be sure to refer to your Official Coding Guidelines, Coding Clinic, CPT Assistant, etc.