ICD-10 I05.0
Billable / SpecificRheumatic mitral stenosis
About ICD-10-CM I05.0
ICD-10-CM code I05.0 represents Rheumatic mitral stenosis. This is a billable/specific code in the Circulatory System chapter (block I05). The 2026 edition of ICD-10-CM I05.0 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under I05.0. Per CMS ICD-10-CM Tabular 2026.
- Mitral (valve) obstruction (rheumatic)
Medicare LCD Coverage for I05.0
Local Coverage Determinations (LCDs) from CMS MACs that list I05.0 as a covered diagnosis.
Showing top 10 of 398 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing I05.0.
1 Aetna
4 Cigna
5 Medicare
CPT Codes Commonly Billed with I05.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 93306 Echo with Doppler — heart failure, cardiomyopathy, mitral/aortic/tricuspid valve disease, chest pain, dyspnea, CAD, pulmonary HTN, ASD, VSD, congenital valve Cardiology
- 78431 CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing CMS LCD
- 78492 CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing CMS LCD
- 75563 CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing CMS LCD
- 75559 CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing CMS LCD
- 0742T CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing CMS LCD
- 78434 CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing CMS LCD
- 78430 CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing CMS LCD
- 78491 CMS LCD: Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing CMS LCD
Convert I05.0 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| I05.0 | 3940 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To I05.0
Other codes in section I05-I09 (Chronic rheumatic heart diseases).
ICD-10 I05.0, Billing FAQ
Is ICD-10 code I05.0 billable? +
Yes, I05.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to I05.0? +
ICD-10 I05.0 includes: Mitral (valve) obstruction (rheumatic).
What CPT codes are commonly billed with I05.0? +
Procedures frequently paired with I05.0 include: 93306, 78431, 78492, 75563, 75559.
What ICD-9 codes does I05.0 map to? +
Per CMS GEMs, I05.0 maps to ICD-9 codes: 3940. Useful for legacy data review and historical claim analysis.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team