chronic heart diseases of rheumatic origin (393-398.99) unless rheumatic fever is also present or there is evidence of recrudescence or activity of the rheumatic process
391.1 Acute rheumatic endocarditis
Rheumatic:
endocarditis, acute
fever (active) (acute) with endocarditis or valvulitis
valvulitis acute
Any condition classifiable to 390 with endocarditis or valvulitis