ICD-10 · PDGM grouping
I05-I09 — Chronic rheumatic heart diseases
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
Codes in range
27
No clinical group
0
A period cannot be grouped from these.
Barred as primary
0
CMS rejects these in the primary position.
Where these codes group
27 of the 27 codes in I05-I09 group to MMTA - Cardiac and Circulatory. Every code here is assigned a group.
Code families in I05-I09
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
Every code in I05-I09
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| I050 | Rheumatic mitral stenosis | H | Can lead a claim |
| I051 | Rheumatic mitral insufficiency | H | Can lead a claim |
| I052 | Rheumatic mitral stenosis with insufficiency | H | Can lead a claim |
| I058 | Other rheumatic mitral valve diseases | H | Can lead a claim |
| I059 | Rheumatic mitral valve disease, unspecified | H | Can lead a claim |
| I060 | Rheumatic aortic stenosis | H | Can lead a claim |
| I061 | Rheumatic aortic insufficiency | H | Can lead a claim |
| I062 | Rheumatic aortic stenosis with insufficiency | H | Can lead a claim |
| I068 | Other rheumatic aortic valve diseases | H | Can lead a claim |
| I069 | Rheumatic aortic valve disease, unspecified | H | Can lead a claim |
| I070 | Rheumatic tricuspid stenosis | H | Can lead a claim |
| I071 | Rheumatic tricuspid insufficiency | H | Can lead a claim |
| I072 | Rheumatic tricuspid stenosis and insufficiency | H | Can lead a claim |
| I078 | Other rheumatic tricuspid valve diseases | H | Can lead a claim |
| I079 | Rheumatic tricuspid valve disease, unspecified | H | Can lead a claim |
| I080 | Rheumatic disorders of both mitral and aortic valves | H | Can lead a claim |
| I081 | Rheumatic disorders of both mitral and tricuspid valves | H | Can lead a claim |
| I082 | Rheumatic disorders of both aortic and tricuspid valves | H | Can lead a claim |
| I083 | Comb rheumatic disord of mitral, aortic and tricuspid valves | H | Can lead a claim |
| I088 | Other rheumatic multiple valve diseases | H | Can lead a claim |
| I089 | Rheumatic multiple valve disease, unspecified | H | Can lead a claim |
| I090 | Rheumatic myocarditis | H | Can lead a claim |
| I091 | Rheumatic diseases of endocardium, valve unspecified | H | Can lead a claim |
| I092 | Chronic rheumatic pericarditis | H | Can lead a claim |
| I0981 | Rheumatic heart failure | H | Can lead a claim |
| I0989 | Other specified rheumatic heart diseases | H | Can lead a claim |
| I099 | Rheumatic heart disease, unspecified | H | Can lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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