2025 ICD-10-CM code I37
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cardiovascular Disease - Other forms of heart disease Diseases of the circulatory system (I00-I99) Feed
Nonrheumatic pulmonary valve disorders.
Modifiers may be appropriate depending on the circumstances of the encounter and the services provided.Consult the most recent coding guidelines for appropriate modifier use.
Medical necessity is established through the presence of symptoms (such as chest pain, shortness of breath, or fatigue) related to hemodynamic compromise caused by the pulmonary valve disorder.Diagnostic testing is needed to confirm the diagnosis and the severity of the condition and to guide treatment options.
Cardiologists, Cardiac Surgeons, and other specialists involved in the diagnosis and treatment of heart valve disorders.
In simple words: This code describes problems with the pulmonary valve in the heart that are not caused by rheumatic fever.The pulmonary valve helps blood flow from the heart to the lungs. Problems can include narrowing or leaking of the valve.
This code encompasses various nonrheumatic disorders affecting the pulmonary valve's structure and function.It excludes conditions originating in the perinatal period, infectious or parasitic diseases, complications of pregnancy or childbirth, congenital malformations, endocrine or metabolic diseases, injuries, neoplasms, symptoms or signs not elsewhere classified, systemic connective tissue disorders, and transient cerebral ischemic attacks.Specific subtypes might include stenosis, insufficiency, or other specified disorders of the pulmonary valve.
Example 1: A 60-year-old patient presents with exertional dyspnea and a systolic murmur heard best at the left upper sternal border. Echocardiography reveals pulmonary valve stenosis without evidence of rheumatic heart disease.The physician codes I37.0., A 75-year-old patient experiences progressive fatigue and chest pain.Echocardiogram shows pulmonary valve insufficiency.The patient's history is negative for rheumatic fever. The physician uses I37.1., A 45-year-old presents with symptoms indicative of a pulmonary valve disorder. However, the specific type of disorder is still under investigation. The physician uses I37.9.
Complete patient history, physical examination findings (including auscultation for murmurs), echocardiogram report, cardiac catheterization report (if performed), and any other relevant diagnostic testing results.
** This code is for nonrheumatic pulmonary valve disorders.Always carefully review the patient's clinical documentation to ensure the correct code is assigned.Consider using additional codes to describe any associated comorbidities or complications.
- Payment Status: Active
- Modifier TC rule: Not applicable for this diagnosis code.
- Specialties:Cardiology, Cardiovascular Surgery
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center