ICD-10-CM I05.1 is the diagnosis code for Rheumatic mitral insufficiency. This code falls under the section "Chronic rheumatic heart diseases" within Chapter 9 — Diseases of the circulatory system (I00-I99). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
The following conditions should never be coded at the same time as I05.1. They are mutually exclusive:
Understanding where I05.1 sits in the ICD-10-CM classification helps ensure proper coding:
Yes, I05.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
I05.1 is the ICD-10-CM diagnosis code for "Rheumatic mitral insufficiency". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of I05.1 is I05 ("Rheumatic mitral valve diseases"). I05.1 provides a more specific classification within this category.
I05.1 is located in Section I05-I09 — "Chronic rheumatic heart diseases" within Chapter 9 of the ICD-10-CM Tabular List.
Use I05.1 when the patients documented diagnosis matches "Rheumatic mitral insufficiency" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Rheumatic mitral insufficiency is I05.1.
Yes, I05.1 can be used as a primary diagnosis code since it is billable and specific.
I05.1 is in Chapter 9 of the ICD-10-CM Tabular List.
Type 1 Excludes for I05.1 include: mitral insufficiency not specified as rheumatic (I34.0).
Yes, I05.1 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.