Valid for Submission
I37.1 is a billable diagnosis code used to specify a medical diagnosis of nonrheumatic pulmonary valve insufficiency. The code I37.1 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code I37.1 might also be used to specify conditions or terms like disorder of pulmonary valve prosthesis, functional pulmonary regurgitation, graham steell murmur, mild pulmonary valve regurgitation, moderate pulmonary valve regurgitation , neopulmonary 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 I37.1:
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 pulmonary valve incompetence
- Nonrheumatic pulmonary 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 I37.1 are found in the index:
- - Incompetency, incompetent, incompetence
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Disorder of pulmonary valve prosthesis
- Functional pulmonary regurgitation
- Graham Steell murmur
- Mild pulmonary valve regurgitation
- Moderate pulmonary valve regurgitation
- Neopulmonary valve regurgitation
- Postprocedural pulmonary valve regurgitation
- Prosthetic cardiac valve regurgitation
- Prosthetic pulmonary valve regurgitation
- Pulmonary incompetence, non-rheumatic
- Pulmonic valve regurgitation
- Severe pulmonary valve regurgitation
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|306||CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC||05||1.5037|
|307||CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC||05||0.8684|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert I37.1 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code I37.1 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
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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