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I06.0 vs I08

I06.0 (Rheumatic aortic stenosis) compared with I08 (Multiple valve diseases), from the official CMS tabular data.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Summary

These codes can be reported together when both conditions are documented, because I06.0 lists I08 under Excludes2, which marks them as distinct conditions.

Official rule
What is different?

The conditions named and billing status.I06.0 is “Rheumatic aortic stenosis”; I08 is “Multiple valve diseases”. I08 is a non-billable header; I06.0 is billable.

Registry fact

Can these codes be reported together?

Yes, when both are documented.I06.0 lists I08 under Excludes2: “aortic valve disease with mitral and/or tricuspid valve involvement (I08.-)”. Excludes2 marks distinct conditions that may both be reported when both are documented.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes2 relationship?

Yes.I06.0’s tabular entry: “aortic valve disease with mitral and/or tricuspid valve involvement (I08.-)”. The note covers I08.

Official ruleGuide: Excludes1 vs Excludes2

Is one a parent or header code?

One is a header.I08 is a non-billable header, but I06.0 is not one of its subdivisions.

Registry fact

Nothing found in 3 other checks; 1 check does not apply
Is there an Excludes1 relationship?

None.Neither entry carries an Excludes1 note that names the other code. I08 carries 2 Excludes1 notes covering other codes; the side-by-side table quotes them.

Official rule

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Informational

Excludes2 relationship

I06.0
Rheumatic aortic stenosis
↔
I08
Multiple valve diseases

What we found

Yes, when both are documented.I06.0 carries an Excludes2 note covering I08: “aortic valve disease with mitral and/or tricuspid valve involvement (I08.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

What to review

Report both only when the documentation supports both conditions; otherwise report the one documented.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source / rule

CMS ICD-10-CM tabular instructional notes

Official guidance behind these answers

  • Section I.A.12.b — Excludes2 · applies to: Excludes2

    A type 2 Excludes note represents “Not included here.” An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

    ICD-10-CM Official Guidelines FY2027

Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum

Side by side

Similar descriptions do not make codes interchangeable. The documentation and the official instructions decide which code applies.

Official descriptionDiffers
I06.0

Rheumatic aortic stenosis

I08

Multiple valve diseases

StatusDiffers
I06.0
Billable
I08
Non-billable header

A header is not reported on a claim; a code beneath it is.

Report instead: I08.0, I08.1, I08.2, I08.3, I08.8

Excludes1Differs
I06.0

None at this code

I08
  • endocarditis, valve unspecified (I38)
  • rheumatic valve disease NOS (I09.1)
Excludes2Differs
I06.0
  • aortic valve disease not specified as rheumatic (I35.-)
  • aortic valve disease with mitral and/or tricuspid valve involvement (I08.-)
I08
  • multiple valve disease specified as nonrheumatic (I34.-, I35.-, I36.-, I37.-, I38.-, Q22.-, Q23.-, Q24.8-)
CategoryDiffers
I06.0

I06 Rheumatic aortic valve diseases

I08

Is itself a category

ChapterSame for both

I00-I99 — Diseases of the Circulatory System (I00-I99)

IncludesDiffers
I06.0
  • Rheumatic aortic (valve) obstruction
I08
  • multiple valve diseases specified as rheumatic or unspecified

No Code first, Use additional code, Code also and 7th character note at either code.

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on. In a row that differs, each code’s own notes are listed under it, and the notes every code shares are listed once beneath them.

Edit this comparisonCheck a whole claim

Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources