2025 ICD-10-CM code I07.8
Other rheumatic tricuspid valve diseases.
Medical necessity is established by the presence of signs and symptoms of tricuspid valve dysfunction due to rheumatic heart disease, confirmed by appropriate diagnostic tests. Treatment is necessary to manage symptoms and prevent complications.
The physician is responsible for documenting the patient's condition, which may include a description of the specific valve affected, the type of disorder (e.g., stenosis, insufficiency), and the temporal parameters (e.g., acute, chronic). It's also important to establish and document the rheumatic etiology of the valve disease. Additional tests such as echocardiograms might be required for confirmation and treatment planning.
In simple words: This code describes a heart problem specifically related to the tricuspid valve, which has been damaged by rheumatic fever. It's used when the damage doesn't fit neatly into the categories for narrowing (stenosis) or leaking (insufficiency) of the valve.
Other rheumatic tricuspid valve diseases. Includes: rheumatic tricuspid valve diseases specified as rheumatic or unspecified. Excludes1: tricuspid valve disease specified as nonrheumatic (I36.-) tricuspid valve disease with aortic and/or mitral valve involvement (I08.-)
Example 1: A 60-year-old patient with a history of rheumatic fever presents with shortness of breath and fatigue. An echocardiogram reveals tricuspid valve damage that isn't clearly stenosis or insufficiency., A 45-year-old patient has a known history of rheumatic heart disease. During a routine checkup, an echocardiogram shows mild tricuspid regurgitation and thickening of the valve leaflets, indicating rheumatic involvement., A patient with documented rheumatic fever develops symptoms suggestive of heart valve problems. Diagnostic tests reveal both tricuspid and mitral valve involvement, requiring a combination code to accurately represent the condition.
Documentation should clearly indicate the affected valve (tricuspid), the presence of rheumatic heart disease, and any associated symptoms. Echocardiogram or other imaging findings are crucial to support the diagnosis. If other valves are also affected, this needs to be clearly documented.
- Payment Status: Active
- Specialties:Cardiology
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office