Nonrheumatic pulmonary valve stenosis with insufficiency
ICD-10 I37.2 is a billable code used to indicate a diagnosis of nonrheumatic pulmonary valve stenosis with insufficiency.
Nonrheumatic pulmonary valve stenosis with insufficiency is a condition characterized by the narrowing of the pulmonary valve, which impedes blood flow from the right ventricle to the pulmonary artery. This condition can lead to increased pressure in the right ventricle and may result in right ventricular hypertrophy over time. Clinically, patients may present with symptoms such as dyspnea, fatigue, and palpitations, particularly during exertion. The anatomy involved includes the pulmonary valve, which consists of three cusps that may become thickened or fused due to congenital factors or degenerative changes. Disease progression can lead to significant complications, including right heart failure and arrhythmias. Diagnostic considerations include echocardiography, which is essential for assessing the severity of stenosis and any associated regurgitation. Cardiac catheterization may also be utilized for further evaluation. Early diagnosis and management are crucial to prevent adverse outcomes and improve patient quality of life.
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
I37.2 specifically covers nonrheumatic pulmonary valve stenosis accompanied by insufficiency, which can occur due to congenital defects or degenerative changes rather than rheumatic fever.
I37.2 should be used when the pulmonary valve stenosis is not due to rheumatic disease and is associated with insufficiency, differentiating it from other codes that may pertain to isolated stenosis or rheumatic causes.
Documentation should include echocardiographic findings indicating both stenosis and insufficiency, clinical symptoms, and any relevant history of congenital heart disease or other cardiovascular conditions.
