2025 ICD-10-CM code I07.0
(Active) Effective Date: N/A Revision Date: N/A Diseases of the circulatory system - Chronic rheumatic heart diseases (I05-I09) Diseases of the circulatory system (I00-I99) Feed
Rheumatic tricuspid stenosis; a chronic rheumatic heart disease affecting the tricuspid valve.
Medical necessity for coding I07.0 would be established through clinical evidence of symptomatic tricuspid stenosis due to rheumatic heart disease impacting the patient's quality of life and requiring medical or surgical intervention. This may involve the presence of right-sided heart failure symptoms, limitations in daily activities, or evidence of worsening cardiac function.
Cardiologists, cardiac surgeons, and other healthcare professionals involved in the diagnosis and management of heart valve diseases are responsible for the clinical care associated with this code.Responsibilities include history taking, physical examination, ordering and interpreting diagnostic tests (echocardiography, cardiac catheterization), managing medications, and potential surgical intervention.
- Diseases of the circulatory system (I00-I99)
- I00-I99 (Diseases of the circulatory system) > I05-I09 (Chronic rheumatic heart diseases)
In simple words: This code describes a condition where the tricuspid valve in the heart becomes narrowed due to rheumatic fever, a complication of strep throat. This narrowing makes it harder for blood to flow properly through the heart.
I07.0, Rheumatic tricuspid stenosis, is an ICD-10-CM code representing stenosis (narrowing) of the tricuspid valve caused by rheumatic heart disease.This involves inflammation of the heart valves due to a rheumatic fever infection, leading to scarring and narrowing of the tricuspid valve opening, impairing blood flow between the right atrium and right ventricle.The diagnosis requires clinical evaluation, including physical examination, echocardiography (to assess valve structure and function), and potentially cardiac catheterization.
Example 1: A 55-year-old patient presents with symptoms of right-sided heart failure (fatigue, edema), a history of rheumatic fever in childhood.Echocardiography reveals severe tricuspid stenosis.This would be coded as I07.0., A 40-year-old female patient undergoes cardiac catheterization which reveals significant tricuspid valve stenosis secondary to rheumatic heart disease. The patient also exhibits mitral valve regurgitation.I07.0 would be used for the tricuspid stenosis.Additional codes would be required for the mitral valve regurgitation., A 60-year-old patient with a known history of rheumatic heart disease presents with worsening dyspnea and fatigue.Physical examination reveals signs of right heart failure, and echocardiography confirms moderate tricuspid stenosis. This would justify using I07.0.
Detailed history of rheumatic fever, physical examination findings suggestive of right-sided heart failure (jugular venous distension, peripheral edema), echocardiographic report demonstrating tricuspid valve stenosis with measurement of valve area and pressure gradient, and any additional relevant investigations such as cardiac catheterization reports.
** The severity of the stenosis (mild, moderate, severe) should be documented in the clinical record, although not explicitly coded in I07.0.This information is crucial for clinical management and prognosis.The presence of other valvular diseases should be coded separately.
- Payment Status: Active
- Specialties:Cardiology, Cardiac Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office