In simple words: This code means the heart's tricuspid valve, which is between two chambers on the right side of the heart, is both narrowed and leaky due to rheumatic fever. This can make the heart work harder.

This code signifies the presence of both stenosis (narrowing) and insufficiency (leakage) of the tricuspid valve due to rheumatic heart disease.Rheumatic heart disease is a condition that damages the heart valves as a complication of rheumatic fever, a streptococcal infection. The stenosis restricts blood flow from the right atrium to the right ventricle, while the insufficiency allows backflow of blood during ventricular contraction.

Example 1: A 50-year-old patient presents with symptoms of shortness of breath, fatigue, and edema (swelling) in the lower extremities.Echocardiography reveals rheumatic tricuspid stenosis and insufficiency.The patient has a history of rheumatic fever in childhood., A 45-year-old patient with a history of untreated streptococcal infection is admitted for evaluation of heart failure symptoms.Cardiac catheterization confirms rheumatic heart disease, involving both the mitral and the tricuspid valve, with significant stenosis and insufficiency in the tricuspid valve., A 60-year-old patient with a history of rheumatic heart disease undergoes a valve repair procedure. The procedure involves correcting stenosis and insufficiency of the tricuspid valve. Postoperative echocardiogram shows improvement in valvular function.

Patient history including history of rheumatic fever or streptococcal infections, physical examination findings, echocardiogram report, cardiac catheterization results (if performed), and any relevant laboratory tests.

** This code should be used in conjunction with other codes that describe the severity of the disease and any associated conditions.Always refer to the latest ICD-10-CM guidelines for proper coding practices.