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2025 ICD-10-CM code I37.8

This code represents other nonrheumatic disorders affecting the pulmonary valve, excluding those specified as congenital or rheumatic.

Adhere to official ICD-10-CM coding guidelines and conventions. Use the most specific code possible based on available clinical documentation. Consult the ICD-10-CM manual for detailed coding instructions.

Modifiers are not applicable to ICD-10 codes.

Medical necessity for coding I37.8 would be established by clinical evidence of a pulmonary valve disorder.Documentation supporting the diagnosis and clinical significance of the disorder needs to be provided, justifying any treatment or intervention undertaken.

The clinical responsibility involves diagnosing and managing the patient's condition.This may include obtaining a thorough history, performing a physical exam, ordering and interpreting diagnostic tests (such as echocardiograms, cardiac catheterization), and developing a treatment plan that may involve medication, surgery, or other interventions to manage the pulmonary valve disorder.

IMPORTANT:This code should be used when the pulmonary valve disorder is nonrheumatic and does not fit the specifications of I37.0 (Nonrheumatic pulmonary valve stenosis), I37.1 (Nonrheumatic pulmonary valve insufficiency), or I37.2 (Nonrheumatic pulmonary valve stenosis with insufficiency).Related codes may include those for congenital pulmonary valve disorders (Q22.1-Q22.3) and rheumatic pulmonary valve disorders (I09.89), which should be used if applicable.Consider using unspecified codes (I37.9) only when insufficient information is available for more precise coding.

In simple words: This code describes problems with the pulmonary valve in the heart that aren't caused by rheumatic fever or present from birth.The problem might be with how the valve works or its structure.A doctor will need to explain the specific issue.

I37.8, Other nonrheumatic pulmonary valve disorders, encompasses various conditions affecting the pulmonary valve's structure and function that are not caused by rheumatic fever and are not classified as congenital.These may include, but are not limited to,non-rheumatic pulmonary valve dysfunction not otherwise specified,specific valve abnormalities not falling under other I37 codes, and other non-rheumatic valvular disorders not elsewhere classified. The diagnosis requires detailed documentation specifying the nature of the disorder, its temporal aspects, the affected valve, the cause, and any related clinical findings.

Example 1: A 60-year-old patient presents with shortness of breath and chest pain.Echocardiography reveals non-rheumatic pulmonary valve insufficiency.I37.8 is used to code the diagnosis., A 45-year-old patient undergoes cardiac catheterization revealing mild non-rheumatic pulmonary valve stenosis with no other significant findings, not meeting the criteria for I37.0 or I37.2.I37.8 is the appropriate code., A 72-year-old patient with a history of hypertension is diagnosed with a non-rheumatic functional pulmonary valve disorder of unknown etiology after a comprehensive evaluation. This is coded as I37.8 due to the absence of stenosis or insufficiency.

Detailed clinical documentation is crucial and should include the patient's history, physical examination findings, results of diagnostic tests (e.g., echocardiogram, cardiac catheterization), and justification for the diagnosis of a non-rheumatic pulmonary valve disorder.

** Always ensure proper documentation supports the selection of I37.8, as insufficient information might lead to the use of unspecified codes.Accurate coding relies on clear clinical information describing the nature and cause of the pulmonary valve disorder.Differentiate from congenital (Q22 codes) and rheumatic (I09 codes) conditions.

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