Rheumatic tricuspid insufficiency
ICD-10 I07.1 is a billable code used to indicate a diagnosis of rheumatic tricuspid insufficiency.
Rheumatic tricuspid insufficiency is a condition characterized by the failure of the tricuspid valve to close properly, leading to backflow of blood from the right ventricle into the right atrium during systole. This condition often arises as a complication of rheumatic fever, which is a sequela of untreated streptococcal throat infections. Clinically, patients may present with symptoms such as fatigue, palpitations, peripheral edema, and signs of right-sided heart failure. The anatomy involved includes the tricuspid valve, which consists of three leaflets and is located between the right atrium and right ventricle. Disease progression can lead to worsening heart failure, arrhythmias, and increased pulmonary pressures. Diagnostic considerations include echocardiography to assess valve morphology and function, as well as Doppler studies to evaluate the severity of regurgitation. Other imaging modalities may be utilized to rule out other cardiac conditions and assess overall cardiac function.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
I07.1 specifically covers rheumatic tricuspid insufficiency, which may be a result of rheumatic heart disease following rheumatic fever. It is important to document the history of rheumatic fever and any associated heart conditions.
I07.1 should be used when the tricuspid insufficiency is specifically due to rheumatic heart disease. If the insufficiency is due to other causes, such as degenerative changes or infective endocarditis, other codes should be selected.
Documentation should include a clear history of rheumatic fever, clinical symptoms indicative of tricuspid insufficiency, and echocardiographic findings that confirm the diagnosis and assess the severity of the condition.
