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    OpenPayerBilling CodesChronic rheumatic heart diseasesICD-10-CM i07-rheumatic-tricuspid-valve-diseases
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    ICD-10-CM Code For Rheumatic Tricuspid Valve Diseases: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group I07 includes chronic rheumatic diseases of the tricuspid valve such as rheumatic tricuspid stenosis and rheumatic tricuspid regurgitation that result from prior rheumatic fever. These ICD-10-CM diagnosis codes are used to document valvular dysfunction due to rheumatic disease, capturing severity, valve involvement, and related complications affecting cardiac function. Accurate coding within the ICD-10-CM I07 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM I07: Rheumatic Tricuspid Valve Diseases Overview

    This group represents chronic rheumatic disease affecting the tricuspid valve of the heart, including rheumatic tricuspid stenosis and regurgitation. It targets the cardiac valvular apparatus and the sequelae of rheumatic fever on the right-sided heart valve. Accurate coding matters for complete clinical documentation and correct reimbursement for services related to long-term valvular disease management.

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    When to Use

    Use a code from this group when documentation indicates tricuspid valve dysfunction attributable to chronic rheumatic disease, such as stenosis or regurgitation linked to a history of rheumatic fever. Assign codes from this group to reflect the specific valve lesion and any associated chronic cardiac complications documented by the clinician.

    ICD-10-CM Codes

    5 rows

    ICD-10-CM CodeDescription
    I07.0Rheumatic tricuspid stenosis
    I07.1Rheumatic tricuspid insufficiency
    I07.2Rheumatic tricuspid stenosis and insufficiency
    I07.8Other rheumatic tricuspid valve diseases
    I07.9Rheumatic tricuspid valve disease, unspecified

    DRG Codes

    2 rows

    DRG CodeDescription
    306Cardiac Congenital and Valvular Disorders with MCC
    307Cardiac Congenital and Valvular Disorders without MCC

    Typical Clinical Scenarios

    • A middle-aged patient with a history of acute rheumatic fever presents for routine cardiology follow-up complaining of progressive exertional fatigue and peripheral edema. Echocardiography demonstrates thickened, retracted tricuspid leaflets with reduced coaptation and moderate-to-severe tricuspid regurgitation consistent with chronic rheumatic involvement of the tricuspid valve; no active inflammatory signs are present. A chronic rheumatic tricuspid valve diagnosis is assigned to document long-standing valvular disease as the cause of symptoms and to guide ongoing management. Typical codes: I07.1, I07.9
    • An elderly patient is admitted from the emergency department with acute right-sided heart failure symptoms including worsening jugular venous distention, hepatomegaly, and marked peripheral edema after an intercurrent respiratory infection. Imaging and exam confirm chronic rheumatic tricuspid stenosis with superimposed decompensation; the acute presentation triggers inpatient treatment but the underlying valvular lesion is chronic rheumatic disease. A code for rheumatic tricuspid stenosis is used to capture the specific valvular lesion responsible for the acute decompensation. Typical codes: I07.0, I07.9
    • A younger adult with known chronic rheumatic heart disease is evaluated preoperatively for combined mitral and tricuspid valve surgery; records document chronic rheumatic tricuspid regurgitation as a comorbid valvular lesion contributing to overall surgical risk. The diagnosis is assigned in the preoperative and operative documentation to describe the rheumatic etiology of the tricuspid valve abnormality and to inform perioperative planning and coding of comorbid conditions. Typical codes: I07.1, I07.2

    Related Codes

    I05-RHEUMATIC-MITRAL-VALVE-DISEASES

    ICD-10-CM Code For Rheumatic Mitral Valve Diseases: Group Overview

    I06-RHEUMATIC-AORTIC-VALVE-DISEASES

    ICD-10-CM Code For Rheumatic Aortic Valve Diseases: Group Overview

    I08-MULTIPLE-VALVE-DISEASES

    ICD-10-CM Code For Multiple Valve Diseases: Group Overview

    I09-OTHER-RHEUMATIC-HEART-DISEASES

    ICD-10-CM Code For Other Rheumatic Heart Diseases: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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