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ICD-10 Guide
DiagnosesSevere Tricuspid Regurgitation

Severe Tricuspid Regurgitation

ICD-10 Coding for Severe Tricuspid Regurgitation(I07.1, I36.1)

PRIMARY SPECIALTYCardiology
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Severe Tricuspid Regurgitation?
Essential facts and insights about Severe Tricuspid Regurgitation

Key Clinical Considerations:

  • Fatigue and weakness
  • Swelling in the legs and abdomen
  • Palpitations or irregular heartbeat
  • Key diagnostic tests include echocardiogram showing regurgitant flow, chest X-ray revealing right heart enlargement, and ECG changes
  • Physical exam findings may include jugular venous distension, a holosystolic murmur at the left sternal border, and peripheral edema

Clinical Information

Clinical Criteria & Documentation Requirements

  • Required documentation elements include patient history, physical exam findings, diagnostic test results, and treatment plan
  • Specific coding terminology includes 'severe tricuspid regurgitation' and associated symptoms
  • Documentation examples: 'Patient presents with severe tricuspid regurgitation confirmed by echocardiogram, exhibiting symptoms of fatigue and peripheral edema.'

Coding Guidelines

Usage Guidelines & Examples

  • Usage guidelines emphasize accurate representation of severity and associated conditions.
  • Common errors include misclassifying the type of regurgitation or omitting relevant symptoms.

Code Exclusions

Important Exclusions

  • Excluded conditions include other forms of heart valve disease not related to tricuspid regurgitation.
  • Alternative codes may include those for heart failure or pulmonary hypertension.

Related ICD-10 Codes

Primary Codes
I08.0
Rheumatic tricuspid regurgitation
I34.1
Nonrheumatic tricuspid regurgitation
Ancillary Codes
T82.198A
Differential Codes
I36.1
I07.1

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Cardiology

Specialty Applications

  • Patient populations include those with heart failure, congenital heart defects, or rheumatic heart disease.
  • Clinical settings include cardiology clinics, hospitals, and outpatient care.

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include detailed patient history, physical exam findings, and results from echocardiography.

Billing considerations?

Ensure accurate coding to reflect severity and associated symptoms for appropriate reimbursement.