What is the ICD-10 code for tricuspid regurgitation?

The ICD-10 code for rheumatic tricuspid regurgitation is I07.1, while nonrheumatic tricuspid regurgitation is coded as I36.1.

How do you code nonrheumatic tricuspid regurgitation?

Nonrheumatic tricuspid regurgitation is coded as I36.1, requiring documentation of the underlying cause and echocardiogram findings.

ICD-10 Coding for Tricuspid Regurgitation(I07.1, I36.1, I50.31)

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Learn about ICD-10 coding for tricuspid regurgitation, including rheumatic (I07.1) and nonrheumatic (I36.1) forms, with documentation tips.

Also known as:

Tricuspid Valve InsufficiencyTricuspid Valve Regurgitationtricuspid insufficiency

Related ICD-10 Code Ranges

Complete code families applicable to Tricuspid Regurgitation

I00-I99Primary Range

Diseases of the circulatory system

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
I07.1	Rheumatic tricuspid insufficiency	Use when tricuspid regurgitation is due to rheumatic heart disease.	History of rheumatic fever Echocardiogram showing commissural fusion or leaflet thickening
I36.1	Nonrheumatic tricuspid insufficiency	Use when tricuspid regurgitation is nonrheumatic.	Echocardiogram showing annular dilation or leaflet tethering Documentation of underlying cause such as pulmonary hypertension

Primary ICD-10-CM Codes

Rheumatic tricuspid insufficiency

I07.1Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Nonrheumatic tricuspid insufficiencyI36.1

Use when etiology is nonrheumatic, such as functional or structural causes.

Rheumatic tricuspid insufficiencyI07.1

Use when etiology is confirmed as rheumatic.

Documentation & Coding Risks

Avoid these common issues when documenting Tricuspid Regurgitation.

Coding TR without specifying severity

Impact

Clinical: Inaccurate representation of patient's condition., Regulatory: Potential audit issues., Financial: May affect reimbursement rates.

Mitigation

Include echocardiogram measurements, Document severity in clinical notes

Not specifying the etiology of tricuspid regurgitation

Impact

Reimbursement: Incorrect coding can lead to improper DRG assignment., Compliance: May result in audit discrepancies., Data Quality: Affects the accuracy of clinical data.

Mitigation

Always document whether the cause is rheumatic or nonrheumatic.

Etiology Documentation

Impact

Failure to document the etiology of tricuspid regurgitation.

Mitigation

Implement mandatory fields in EHR for etiology documentation.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with I07.1.

Tricuspid Insufficiency→

Primary Code

I07.1

Rheumatic tricuspid insufficiency

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ICD-10 codes3

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ICD-10 Coding for Tricuspid Regurgitation(I07.1, I36.1, I50.31)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for tricuspid regurgitation?

How do you code nonrheumatic tricuspid regurgitation?

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