2025 ICD-10-CM code I37.9
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Other forms of heart disease - Other nonrheumatic pulmonary valve disorders Diseases of the circulatory system (I00-I99) Feed
Nonrheumatic pulmonary valve disorder, unspecified.
Medical necessity for further investigation and coding would be determined based on the patient's symptoms, the severity of the suspected pulmonary valve disorder, and the need to guide appropriate treatment.
The clinical responsibility for this code would involve a cardiologist or other qualified healthcare professional assessing the patient's cardiovascular system, conducting diagnostic tests (such as echocardiography or cardiac catheterization), and determining the precise nature of the pulmonary valve disorder to enable more precise coding if possible. Treatment might involve medication, surgery, or other interventions depending on the severity and nature of the disorder.
In simple words: This code describes a problem with the pulmonary valve in the heart that isn't caused by rheumatic fever, but the exact nature of the problem isn't known yet.
This code represents a nonrheumatic disorder affecting the pulmonary valve, where the specific type of disorder is not specified.It encompasses functional or structural defects of the pulmonary valve not caused by rheumatic fever.The lack of specification necessitates further clinical documentation to clarify the nature of the valve dysfunction.
Example 1: A 60-year-old patient presents with shortness of breath and chest pain.Echocardiography reveals pulmonary valve dysfunction, but further investigation is needed to determine the specific nature of the dysfunction before a more precise code can be applied., A 25-year-old patient is diagnosed with a previously unknown heart murmur.Initial cardiac evaluation suggests a problem with the pulmonary valve, but the cause is unclear and further testing, such as cardiac catheterization is warranted., A 70-year-old patient with a history of heart disease undergoes a routine echocardiogram, which reveals evidence of mild pulmonary valve insufficiency of unknown etiology. Further testing might not be necessary due to patient’s age and other comorbidities.
Detailed clinical history, physical examination findings, results of echocardiography, cardiac catheterization (if performed), other relevant diagnostic tests (e.g., cardiac MRI, CT scan), and physician's interpretation and report.
** The unspecified nature of this code necessitates thorough clinical documentation to support the diagnosis and justify the use of I37.9.This code should only be used when a more specific code is not available.
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