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I34

I34Nonrheumatic mitral valve disorders

Non-billable headerICD-10-CM

I34 is a non-billable header ICD-10-CM code for nonrheumatic mitral valve disorders. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • mitral valve disease (I05.9)
  • mitral valve failure (I05.8)
  • mitral valve stenosis (I05.0)
  • mitral valve disorder of unspecified cause with diseases of aortic and/or tricuspid valve(s) (I08.-)
  • mitral valve disorder of unspecified cause with mitral stenosis or obstruction (I05.0)
  • mitral valve disorder specified as congenital (Q23.2, Q23.9)
  • mitral valve disorder specified as rheumatic (I05.-)

Other codes that can never be billed with I34

These codes carry an Excludes1 note pointing at I34. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I34 alone.

  • I05Rheumatic mitral valve diseases
  • I05.1Rheumatic mitral insufficiency

Risk adjustment

I34 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead I34

5 child codes. Green means billable.

Questions about I34

Is I34 a billable ICD-10-CM code?
No. I34 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does I34 sit in the tabular list?
Diseases of the circulatory system (I00-I99), in the block Other forms of heart disease (I30-I5A).
What cannot be coded together with I34?
I34 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.