ICD-10-CM Code I36.0

Nonrheumatic tricuspid (valve) stenosis

Version 2020 Billable Code

Valid for Submission

I36.0 is a billable code used to specify a medical diagnosis of nonrheumatic tricuspid (valve) stenosis. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code I36.0 might also be used to specify conditions or terms like disorder of tricuspid valve prosthesis, obstruction of tricuspid valve due to neoplasm, postprocedural stenosis of tricuspid valve, prosthetic tricuspid valve stenosis, tricuspid stenosis, non-rheumatic, tricuspid valve disorder, non-rheumatic, etc

ICD-10:I36.0
Short Description:Nonrheumatic tricuspid (valve) stenosis
Long Description:Nonrheumatic tricuspid (valve) stenosis

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code I36.0 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Disorder of tricuspid valve prosthesis
  • Obstruction of tricuspid valve due to neoplasm
  • Postprocedural stenosis of tricuspid valve
  • Prosthetic tricuspid valve stenosis
  • Tricuspid stenosis, non-rheumatic
  • Tricuspid valve disorder, non-rheumatic
  • Tricuspid valve stenosis due to carcinoid tumor

Diagnostic Related Groups

The ICD-10 code I36.0 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 306 - CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC
  • 307 - CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC

Convert I36.0 to ICD-9

  • 424.2 - Nonrheum tricusp val dis (Approximate Flag)

Code Classification

  • Diseases of the circulatory system (I00–I99)
    • Other forms of heart disease (I30-I52)
      • Nonrheumatic tricuspid valve disorders (I36)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Heart Valve Diseases

Your heart has four valves. Normally, these valves open to let blood flow through or out of your heart, and then shut to keep it from flowing backward. But sometimes they don't work properly. If they don't, you could have

  • Regurgitation - when blood leaks back through the valve in the wrong direction
  • Mitral valve prolapse - when one of the valves, the mitral valve, has "floppy" flaps and doesn't close tightly. It's one of the most common heart valve conditions. Sometimes it causes regurgitation.
  • Stenosis - when the valve doesn't open enough and blocks blood flow

Valve problems can be present at birth or caused by infections, heart attacks, or heart disease or damage. The main sign of heart valve disease is an unusual heartbeat sound called a heart murmur. Your doctor can hear a heart murmur with a stethoscope. But many people have heart murmurs without having a problem. Heart tests can show if you have a heart valve disease. Some valve problems are minor and do not need treatment. Others might require medicine, medical procedures, or surgery to repair or replace the valve.

NIH: National Heart, Lung, and Blood Institute


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