ICDcodes.org
FY2027

I05.0 vs I34

I05.0 and I34 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.

The official note, declared on I34
mitral valve stenosis (I05.0)
I05.0

Rheumatic mitral stenosis

Billable
Chapter 9
Diseases of the circulatory system
Section
I05-I09
Use when the record says
  • Mitral (valve) obstruction (rheumatic)
Indexed under
  • Stenosis, stenotic › mitral (cicatricial)
I34

Nonrheumatic mitral valve disorders

Not billable
Chapter 9
Diseases of the circulatory system
Section
I30-I5A

Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027