Tricuspid Regurgitation ICD-10-CM Codes

Dive into the ICD-10-CM codes essential for diagnosing and documenting tricuspid regurgitation in 2023.

By Chloe Smith on Feb 29, 2024.

Fact Checked by Ericka Pingol.

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Tricuspid Regurgitation ICD-10-CM Codes

What ICD-10 Codes are Used for Tricuspid Regurgitation?

Tricuspid regurgitation is a valvular heart condition where the tricuspid valve does not close properly, causing blood to flow backward into the right atrium when the right ventricle contracts. Properly classifying this condition using the ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) is crucial for accurate diagnosis, treatment planning, and medical billing.

Here are some commonly used ICD-10-CM codes for tricuspid regurgitation:

I07.0: Rheumatic tricuspid stenosis

Clinical Description: This code represents tricuspid valve issues precisely due to rheumatic causes, which lead to valve narrowing.

I07.1: Rheumatic tricuspid insufficiency

Clinical Description: Tricuspid regurgitation caused by rheumatic disease is coded under this classification.

I07.8: Other rheumatic tricuspid valve diseases

Clinical Description: This code is for other tricuspid valve conditions resulting from rheumatic heart disease, which doesn't fit under stenosis or insufficiency.

I07.9: Rheumatic tricuspid valve disease, unspecified

Clinical Description: This is a catch-all code for rheumatic tricuspid valve diseases that are not further specified.

Which Tricuspid Regurgitation ICD Codes are Billable:

  • I07.0: Yes
  • I07.1: Yes
  • I07.8: Yes
  • I07.9: Yes

Clinical Information

  • Tricuspid regurgitation may be due to various factors, including congenital heart defects, endocarditis, rheumatic fever, or heart failure.
  • Symptoms might be subtle or non-existent in mild cases, including fatigue, fluid retention, and swelling in severe conditions.
  • Echocardiography is a primary diagnostic tool for identifying and assessing the severity of tricuspid regurgitation.
  • Management strategies include monitoring, medications to treat symptoms or underlying conditions, and surgical interventions for severe cases.
  • The prognosis varies depending on the cause and severity of the condition and the success of any interventions performed.

Synonyms Include

  • Tricuspid Valve Insufficiency
  • Backflow of Tricuspid Valve
  • Rheumatic Tricuspid Disease
  • Tricuspid Valve Leak
  • Tricuspid Valve Disorder
Medical Billing and Coding Software

Commonly asked questions

When to use a Tricuspid Regurgitation ICD code?

ICD-10-CM codes specific to tricuspid regurgitation should be used in medical documentation when diagnosing, treating, and billing for this condition. They ensure standardized classification and aid in clinical management and administrative processes.

What are the common treatments for Tricuspid Regurgitation Diagnosis Codes?

Treatments can range from monitoring and medications to manage symptoms or underlying causes to surgical repair or replacement of the tricuspid valve in severe cases.

What does a diagnosis code for Tricuspid Regurgitation mean?

A diagnosis code for tricuspid regurgitation provides a standardized way to represent the specific type and cause of tricuspid valve dysfunction a patient is experiencing. It's crucial for both clinical and administrative reasons.

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