Valid for Submission
I36.1 is a billable diagnosis code used to specify a medical diagnosis of nonrheumatic tricuspid (valve) insufficiency. The code I36.1 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code I36.1 might also be used to specify conditions or terms like acute prosthetic tricuspid valve regurgitation, disorder of tricuspid valve prosthesis, functional tricuspid regurgitation, postprocedural regurgitation of tricuspid valve, prosthetic cardiac valve regurgitation , prosthetic tricuspid valve regurgitation, etc.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code I36.1:
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Nonrheumatic tricuspid (valve) incompetence
- Nonrheumatic tricuspid (valve) regurgitation
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 I36.1 are found in the index:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Acute prosthetic tricuspid valve regurgitation
- Disorder of tricuspid valve prosthesis
- Functional tricuspid regurgitation
- Postprocedural regurgitation of tricuspid valve
- Prosthetic cardiac valve regurgitation
- Prosthetic tricuspid valve regurgitation
- Tricuspid incompetence, non-rheumatic
- Tricuspid valve disorder, non-rheumatic
- Tricuspid valve regurgitation due to carcinoid tumor
Diagnostic Related Groups - MS-DRG Mapping
Convert I36.1 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code I36.1 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
Heart Valve Diseases
Also called: Valvular heart disease
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
- Aortic insufficiency (Medical Encyclopedia)
- Aortic stenosis (Medical Encyclopedia)
- Aortic valve surgery - minimally invasive (Medical Encyclopedia)
- Aortic valve surgery - open (Medical Encyclopedia)
- Bicuspid aortic valve (Medical Encyclopedia)
- Heart murmurs and other sounds (Medical Encyclopedia)
- Heart valve surgery (Medical Encyclopedia)
- Transcatheter aortic valve replacement (Medical Encyclopedia)
- Tricuspid regurgitation (Medical Encyclopedia)
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