In simple words: This code means the patient has a long-term heart problem caused by rheumatic fever, affecting two specific heart valves (the mitral and tricuspid valves).Rheumatic fever is an inflammation caused by a type of bacterial infection.

This ICD-10-CM code signifies the presence of rheumatic heart disease affecting both the mitral and tricuspid valves.Rheumatic heart disease is a chronic condition resulting from rheumatic fever, an inflammatory response triggered by a streptococcal infection. The inflammation damages the heart valves, leading to stenosis (narrowing) or regurgitation (leakage) of blood flow.This code requires documentation specifying both mitral and tricuspid valve involvement and the type of valve dysfunction (stenosis, regurgitation, or both).

Example 1: A 45-year-old patient presents with symptoms of shortness of breath, fatigue, and palpitations.Echocardiography reveals rheumatic mitral and tricuspid valve stenosis., A 30-year-old patient with a history of rheumatic fever experiences progressive worsening of heart failure.Cardiac catheterization demonstrates severe mitral and tricuspid regurgitation., A 60-year-old patient undergoes a cardiac surgery to replace both the mitral and tricuspid valves due to severe stenosis and regurgitation stemming from rheumatic heart disease.

* Detailed history of rheumatic fever, including the date of initial infection and any prior treatments.* Physical examination findings, particularly heart sounds (murmurs) and any signs of heart failure.* Results of diagnostic tests, primarily echocardiography to visualize the valve dysfunction and assess severity.* Relevant laboratory results, including inflammatory markers (e.g., ESR, CRP).* Treatment plan including medication and/or surgical interventions.

** This code is used for both inpatient and outpatient settings.The severity of the condition will influence the type of care provided and associated billing codes.