In simple words: This code means that a person has a heart problem in two specific heart valves (the aortic and tricuspid valves) caused by rheumatic fever, a condition that can damage the heart.The damage could be from narrowing or leaking of the valves.

This code signifies the presence of rheumatic heart disease involving both the aortic and tricuspid heart valves.It encompasses various pathological manifestations, including stenosis (narrowing), insufficiency (regurgitation or leakage), or a combination of both, caused by rheumatic fever.The diagnosis requires clinical evaluation, echocardiography, and potentially cardiac catheterization.

Example 1: A 55-year-old patient presents with symptoms of shortness of breath, chest pain, and fatigue.Echocardiography reveals significant aortic stenosis and tricuspid regurgitation consistent with rheumatic heart disease.The patient's medical history includes a childhood episode of rheumatic fever., A 40-year-old patient with a known history of rheumatic heart disease undergoes cardiac catheterization to assess the severity of aortic and tricuspid valve dysfunction. The catheterization confirms significant stenosis in both valves. , An 80-year-old patient, with a history of rheumatic fever in childhood and longstanding heart problems, presents with worsening symptoms.Echocardiography reveals moderate aortic stenosis and mild tricuspid regurgitation, along with significant heart failure. The patient’s condition is managed through medication and close monitoring.

Detailed patient history including past medical history, especially a history of rheumatic fever; complete physical examination findings; echocardiography report with detailed measurements of valve dysfunction; cardiac catheterization report (if performed); laboratory findings supporting the diagnosis.

** Accurate coding requires precise documentation of the clinical findings and diagnostic tests used to establish the diagnosis. The severity of the valve dysfunction influences treatment and prognosis.