In simple words: This code describes a heart problem where one of the heart's valves (the pulmonic valve) doesn't close tightly enough.This allows blood to leak backward, which can cause problems if it becomes severe.

I37.1, Nonrheumatic pulmonary valve insufficiency, is an ICD-10-CM code representing a valvular heart disease where the pulmonary valve fails to close completely during ventricular systole. This results in regurgitation of blood from the pulmonary artery back into the right ventricle. The insufficiency is categorized as nonrheumatic, differentiating it from valvular disorders caused by rheumatic fever.The severity of the condition can range from mild, often asymptomatic, to severe, leading to right ventricular volume overload and eventual heart failure. Symptoms of severe pulmonic regurgitation may include exertional dyspnea, palpitations, edema, and hepatic congestion. Diagnosis typically involves physical examination, echocardiography, and possibly cardiac catheterization.

Example 1: A 65-year-old male presents with exertional dyspnea and edema.Echocardiography reveals severe nonrheumatic pulmonic regurgitation with evidence of right ventricular dilation and dysfunction.The patient is referred for surgical valve repair., A 40-year-old female with a history of connective tissue disease undergoes echocardiography that shows mild pulmonic regurgitation. She is asymptomatic, and the physician recommends close monitoring with repeat echocardiography in 6 months., An 80-year-old patient with a history of hypertension and coronary artery disease undergoes cardiac catheterization as part of his evaluation for worsening heart failure.The catheterization demonstrates significant pulmonic regurgitation, which is considered to be contributing to his symptoms. He is not a candidate for surgery, and medical management is initiated to address the heart failure.

Thorough documentation should include the patient's history, physical examination findings (including heart sounds), echocardiographic report detailing the severity of regurgitation, and any other relevant diagnostic studies (e.g., cardiac catheterization).Documentation of symptoms, response to treatment, and medical necessity for any intervention is also essential.

** The diagnosis of nonrheumatic pulmonic valve insufficiency requires careful clinical correlation.Imaging studies such as echocardiography are crucial for diagnosis and assessment of severity.The absence of rheumatic heart disease must be confirmed or excluded through medical history and other pertinent findings.