I34 ICD-10-CM Code: Nonrheumatic mitral valve disorders
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- Tabular directives
- 7 Excludes1
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for I34 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- mitral valve disease (I05.9) Compare I34 vs I05.9 →
- mitral valve failure (I05.8) Compare I34 vs I05.8 →
- mitral valve stenosis (I05.0) Compare I34 vs I05.0 →
- mitral valve disorder of unspecified cause with diseases of aortic and/or tricuspid valve(s) (I08.-) Compare I34 vs I08 →
- mitral valve disorder of unspecified cause with mitral stenosis or obstruction (I05.0) Compare I34 vs I05.0 →
- mitral valve disorder specified as congenital (Q23.2, Q23.9) Compare I34 vs Q23.2 →
- mitral valve disorder specified as rheumatic (I05.-) Compare I34 vs I05 →
Coder workflow for I34
MedCoder structured workflow — derived from this code’s own official record
Before you code I34
- I34 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewI34.0, I34.1, I34.2, I34.8, I34.9
See the relationships section · Guide: How to choose an ICD-10-CM code →
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with I34. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support one of the more specific codes beneath I34?
Yes → Select that code and continue the checks below on its own page.
No → I34 cannot be reported as written; query for the specificity its subcategory needs. - Does the documentation support a condition named in I34’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.
Consider I34. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Official instructions as workflow
Excludes1 — check before selecting I34(7 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with I34: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
CompareI05.9, I05.8, I05.0, I08, Q23.2, Q23.9
See the official tabular notes · Guidelines I.A.12.a
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition I34 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name I34 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 1 Excludes1 note: I05 — Rheumatic mitral valve diseases.
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 1 Excludes2 note: I08 — Multiple valve diseases.
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Contextual Map
Every relationship of I34 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run I34 with these 7 related codes in Claim Check
Hierarchy
- I00-I99 — Chapter 9: Diseases of the Circulatory System (I00-I99) (I00-I99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I30-I5A — Other forms of heart disease[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Excludes1
- I05 — Rheumatic mitral valve diseases[Excludes1]: “mitral valve disorder specified as rheumatic (I05.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- I05.0 — Rheumatic mitral stenosis[Excludes1]: “mitral valve stenosis (I05.0)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- I05.8 — Other rheumatic mitral valve diseases[Excludes1]: “mitral valve failure (I05.8)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- I05.9 — Rheumatic mitral valve disease, unspecified[Excludes1]: “mitral valve disease (I05.9)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- I08 — Multiple valve diseases[Excludes1]: “mitral valve disorder of unspecified cause with diseases of aortic and/or tricuspid valve(s) (I08.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- Q23.2 — Congenital mitral stenosis[Excludes1]: “mitral valve disorder specified as congenital (Q23.2, Q23.9)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- Q23.9 — Congenital malformation of aortic and mitral valves, unspecified[Excludes1]: “mitral valve disorder specified as congenital (Q23.2, Q23.9)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes1 notes
- I05 — Rheumatic mitral valve diseases[Excludes1]: “mitral valve disease specified as nonrheumatic (I34.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes2 notes
- I08 — Multiple valve diseases[Excludes2]: “multiple valve disease specified as nonrheumatic (I34.-, I35.-, I36.-, I37.-, I38.-, Q22.-, Q23.-, Q24.8-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Nearest codes
- I34.0 — Nonrheumatic mitral (valve) insufficiency[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I34.1 — Nonrheumatic mitral (valve) prolapse[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I34.2 — Nonrheumatic mitral (valve) stenosis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I34.8 — Other nonrheumatic mitral valve disorders[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I34.81 — Nonrheumatic mitral (valve) annulus calcification[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I34.89 — Other nonrheumatic mitral valve disorders[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I34.9 — Nonrheumatic mitral valve disorder, unspecified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can I34 be billed directly?
No. I34 (Nonrheumatic mitral valve disorders) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "I34 — Nonrheumatic mitral valve disorders." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/i34-nonrheumatic-mitral-valve-disorders
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionNonrheumatic mitral valve disorders
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to I34 in its code family, with their registry titles.
- I34.0 — Nonrheumatic mitral (valve) insufficiency
- I34.1 — Nonrheumatic mitral (valve) prolapse
- I34.2 — Nonrheumatic mitral (valve) stenosis
- I34.8 — Other nonrheumatic mitral valve disorders
- I34.81 — Nonrheumatic mitral (valve) annulus calcification
- I34.89 — Other nonrheumatic mitral valve disorders
- I34.9 — Nonrheumatic mitral valve disorder, unspecified