PAYER READY CREDENTIALING & COMPLIANCE
ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 I09.89

Billable / Specific

Other specified rheumatic heart diseases

I09
Block
1
Synonyms
337
LCDs
15
Payer Policies
8
Linked CPTs

About ICD-10-CM I09.89

ICD-10-CM code I09.89 represents Other specified rheumatic heart diseases. This is a billable/specific code in the Circulatory System chapter (block I09). The 2026 edition of ICD-10-CM I09.89 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under I09.89. Per CMS ICD-10-CM Tabular 2026.

  • Rheumatic disease of pulmonary valve

Medicare LCD Coverage for I09.89

Local Coverage Determinations (LCDs) from CMS MACs that list I09.89 as a covered diagnosis.

337 LCDs

Showing top 10 of 337 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT 93313 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT 93312 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT 93318 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT 93317 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT C8927 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT C8925 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT 93314 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT C8926 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT 93316 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT 93315 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I09.89.

15 policies

1 Aetna

Color-Flow Doppler Echocardiography and Myocardial Strain Imaging - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0008

1 Cigna

Duplex Scan of Extracranial Arteries - (0542)
Policy ID: MM_0542

5 Medicare

Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-52850
Billing and Coding: Transesophageal Echocardiography (TEE)
Policy ID: ART-52868
Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Policy ID: ART-56423
Billing and Coding: Cardiac Radionuclide Imaging
Policy ID: ART-56476
Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-56500

CPT Codes Commonly Billed with I09.89

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

8 linkages
  • 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 I09.89 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
I09.89 3971 10000
I09.89 39899 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 I09.89, Billing FAQ

Is ICD-10 code I09.89 billable? +

Yes, I09.89 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 I09.89? +

ICD-10 I09.89 includes: Rheumatic disease of pulmonary valve.

What CPT codes are commonly billed with I09.89? +

Procedures frequently paired with I09.89 include: 78431, 78492, 75563, 75559, 0742T.

What ICD-9 codes does I09.89 map to? +

Per CMS GEMs, I09.89 maps to ICD-9 codes: 3971, 39899. 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.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

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 July 16, 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

Every month un-credentialed is revenue you never bill

Sign up free, add your first provider, and watch the pipeline start moving this week.

Ask CredBrain

Answers from your credentialing team's verified knowledge base

Hi, I'm CredBrain. I answer from your credentialing team's verified knowledge base: payer join paths, state rules, timelines, associate billing, and enrollment workflows. If I don't have a verified answer, I'll say so and point you to your team. What would you like to know?

Try asking