2027 ICD-10-CM Diagnosis Code I07.1Rheumatic tricuspid insufficiency
ICD-10-CM Codes›I00–I99›I05-I09›I07
- Billable — Valid for Submission
- Chronic Condition
I07.1 is a billable ICD-10-CM diagnosis code for rheumatic tricuspid insufficiency. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 306 through 307. Coders also document this condition as mild tricuspid valve regurgitation. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Chronic rheumatic heart disease.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Mild tricuspid valve regurgitation
- Moderate tricuspid valve regurgitation
- Rheumatic disease of tricuspid valve
- Rheumatic tricuspid valve regurgitation
- Severe tricuspid valve regurgitation
- Tricuspid valve regurgitation
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to I07.1: its own notes plus those printed at I07 and Chapter 9. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- rheumatic tricuspid valve diseases specified as rheumatic or unspecified
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Tricuspid (valve) insufficiency (rheumatic)
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- systemic connective tissue disorders (M30-M36)
- transient cerebral ischemic attacks and related syndromes (G45.-)
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name I07.1, its category, or a range that includes it.
Excludes1 3
These codes carry an Excludes1 note naming I07.1: they are not reported together with it, unless the two conditions are unrelated.
- I36 Nonrheumatic tricuspid valve disorderstricuspid valve disorders of unspecified cause (I07.-) names I07.-, which includes this code
- I36 Nonrheumatic tricuspid valve disorderstricuspid valve disorders specified as rheumatic (I07.-) names I07.-, which includes this code
- I01 Rheumatic fever with heart involvement
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Rheumatic Tricuspid Insufficiency
tricuspid valve insufficiency secondary to rheumatic fever.
Patient EducationClinical
Heart Valve Diseases
Heart valve disease happens when one or more of your heart valves don't work well.
The full article covers:
- What are heart valve diseases?
- What are the types of heart valve diseases?
- What causes heart valve diseases?
- Who is more likely to develop heart valve diseases?
- What are the symptoms of heart valve diseases?
- What other problems can heart valve diseases cause?
- How is heart valve disease diagnosed?
- What are the treatments for heart valve diseases?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert I07.1 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About I07.1Overview
What is the ICD-10 code for rheumatic tricuspid insufficiency?
The ICD-10-CM code for rheumatic tricuspid insufficiency is I07.1 (sometimes written as I071). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is I07.1 (Rheumatic tricuspid valve diseases) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report rheumatic tricuspid insufficiency on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does I07.1 group to?
When rheumatic tricuspid insufficiency is the principal diagnosis on an inpatient stay, it groups to MS-DRG 306, 307, with relative weights from 0.9146 to 1.5457 depending on complications. Higher weights mean higher Medicare reimbursement.
Can I07.1 be reported with a code from I36?
Not as a rule. The Excludes1 note at I07, which applies to I07.1, lists "tricuspid valve disease specified as nonrheumatic (I36.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
What is the ICD-9 equivalent of I07.1?
Under the General Equivalence Mappings, rheumatic tricuspid insufficiency converts to ICD-9-CM 397.0 (tricuspid valve disease). The mapping is approximate, so confirm the match fits the documentation.
