Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerBilling CodesChronic rheumatic heart diseasesICD-10-CM i06-rheumatic-aortic-valve-diseases
    Ask Trek AI about this page

    ICD-10-CM Code For Rheumatic Aortic Valve Diseases: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group I06 includes chronic rheumatic aortic valve conditions such as rheumatic aortic stenosis, rheumatic aortic insufficiency, and combined aortic valve lesions resulting from prior rheumatic fever. These ICD-10-CM diagnosis codes are used to document chronic valvular dysfunction of the aortic valve, capturing severity, valve involvement, and related cardiac complications such as heart failure or arrhythmia. Accurate coding within the ICD-10-CM I06 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

    Customize your policy alerts

    Sign up for ICD-10-CM Code For Rheumatic Aortic Valve Diseases: Group Overview policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    ICD-10-CM I06: Rheumatic Aortic Valve Diseases Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group I06 represents chronic rheumatic disease affecting the aortic valve, including aortic stenosis, regurgitation, and combined lesions secondary to rheumatic fever. These diagnoses target the cardiovascular system, specifically valvular structure and function of the aortic valve. Accurate coding ensures clinical records reflect disease severity and comorbid cardiac involvement and supports appropriate reimbursement for services related to long-term management and interventions.

    Table of contents

    Progress1 / 6

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    When to Use

    Use a code from this group when the medical record documents chronic rheumatic disease of the aortic valve with specified stenosis, insufficiency, or combined lesion. Select the code that matches the documented valve lesion and laterality or combined presentation to reflect clinical severity and support claim processing.

    ICD-10-CM Codes

    5 rows

    ICD-10-CM CodeDescription
    I06.0Rheumatic aortic stenosis
    I06.1Rheumatic aortic insufficiency
    I06.2Rheumatic aortic stenosis with insufficiency
    I06.8Other rheumatic aortic valve diseases
    I06.9Rheumatic aortic valve disease, unspecified

    DRG Codes

    2 rows

    DRG CodeDescription
    306Cardiac Congenital and Valvular Disorders with MCC
    307Cardiac Congenital and Valvular Disorders without MCC

    Typical Clinical Scenarios

    • An elderly patient with a history of rheumatic fever presents for routine cardiology follow-up with progressive exertional dyspnea and a new blowing systolic murmur radiating to the carotids. Echocardiography demonstrates thickened, retracted aortic valve leaflets with hemodynamically significant stenosis and reduced valve area consistent with chronic rheumatic aortic stenosis; the visit documents chronic rheumatic involvement of the aortic valve. Typical codes: I06.0, I06.1
    • A middle-aged patient with long-standing rheumatic heart disease is evaluated for worsening heart failure symptoms including orthopnea and lower extremity edema; imaging reveals mixed aortic valve disease with predominant regurgitation causing volume overload. The clinician documents chronic rheumatic aortic insufficiency as a contributing cause of the cardiac decompensation and schedules valve surveillance and medical optimization. Typical codes: I06.2, I06.8
    • A young adult with prior untreated rheumatic fever presents to the emergency department with infective endocarditis and acute-on-chronic aortic valve dysfunction leading to hypotension. The record notes chronic rheumatic involvement of the aortic valve as the underlying structural lesion complicating the acute infectious process and guiding surgical consultation. Typical codes: I06.8, I06.9

    Related Codes

    I05-RHEUMATIC-MITRAL-VALVE-DISEASES

    ICD-10-CM Code For Rheumatic Mitral Valve Diseases: Group Overview

    I07-RHEUMATIC-TRICUSPID-VALVE-DISEASES

    ICD-10-CM Code For Rheumatic Tricuspid Valve Diseases: Group Overview

    I08-MULTIPLE-VALVE-DISEASES

    ICD-10-CM Code For Multiple Valve Diseases: Group Overview

    I09-OTHER-RHEUMATIC-HEART-DISEASES

    ICD-10-CM Code For Other Rheumatic Heart Diseases: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.