Nonrheumatic pulmonary valve insufficiency
ICD-10 I37.1 is a billable code used to indicate a diagnosis of nonrheumatic pulmonary valve insufficiency.
Nonrheumatic pulmonary valve insufficiency is characterized by the backward flow of blood from the pulmonary artery into the right ventricle due to inadequate closure of the pulmonary valve. This condition can arise from various etiologies, including congenital defects, degenerative changes, or infective endocarditis. Clinically, patients may present with symptoms such as dyspnea, fatigue, palpitations, and signs of right heart failure, including peripheral edema and ascites. The anatomy involved primarily includes the right ventricle, pulmonary valve, and pulmonary artery. Disease progression can lead to right ventricular dilation and dysfunction if left untreated. Diagnostic considerations include echocardiography, which is the primary imaging modality to assess valve function and right ventricular size and function. Additional tests may include cardiac MRI or CT scans for further anatomical evaluation. Early diagnosis and management are crucial to prevent complications such as severe heart failure or arrhythmias.
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
I37.1 covers nonrheumatic pulmonary valve insufficiency, which may include conditions such as congenital pulmonary valve defects, degenerative valve disease, and post-infective changes. It is essential to differentiate these from rheumatic causes, which are coded separately.
I37.1 should be used when the pulmonary valve insufficiency is confirmed to be nonrheumatic in origin. If there is a history of rheumatic fever or evidence of rheumatic heart disease, then the appropriate rheumatic code should be utilized.
Documentation supporting I37.1 should include a comprehensive clinical evaluation, echocardiographic findings indicating pulmonary valve insufficiency, and any relevant history that rules out rheumatic causes. Detailed notes on symptoms and functional status are also critical.
