Learn about tricuspid regurgitation diagnosis, including clinical documentation requirements, medical coding (ICD-10, I50.9, I50.0), echocardiogram interpretation, and severity assessment (mild, moderate, severe). Find information on symptoms, causes, and treatment options for TR. This resource provides guidance for healthcare professionals on proper documentation and coding for tricuspid valve regurgitation in medical records. Explore relevant clinical terminology and improve your understanding of this cardiac condition.
Also known as
Chronic rheumatic heart diseases
Covers rheumatic tricuspid valve disorders, including regurgitation.
Other forms of heart disease
Includes non-rheumatic tricuspid regurgitation caused by various conditions.
Congenital malformations of heart
Encompasses congenital heart defects that can cause tricuspid regurgitation.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the tricuspid regurgitation acute?
Yes
Due to endocarditis?
No
Is it rheumatic?
When to use each related code
| Description |
|---|
| Tricuspid valve leaks, blood flows back. |
| Mitral valve leaks, backflow into left atrium. |
| Pulmonary valve leaks, backflow into right ventricle. |
Coding TR without specifying severity (mild, moderate, severe) leads to undercoding and lost revenue. CDI should query for details.
Failing to code the underlying cause of TR (e.g., rheumatic heart disease, endocarditis) impacts risk adjustment and data accuracy. CDI can clarify.
Discrepancies between echo report and physician notes regarding TR presence or severity. CDI and coding need to reconcile differences for accurate coding.
Patient presents with symptoms suggestive of tricuspid regurgitation. Presenting complaints include dyspnea on exertion, fatigue, and peripheral edema. Physical examination reveals jugular venous distension, a holosystolic murmur best heard at the left lower sternal border, and hepatomegaly. The patient reports a history of hypertension and is currently prescribed lisinopril. Electrocardiogram shows sinus rhythm with right axis deviation. Transthoracic echocardiography reveals moderate tricuspid regurgitation with an estimated pulmonary artery systolic pressure of 45 mmHg. Findings are consistent with the diagnosis of tricuspid regurgitation. Differential diagnoses considered include pulmonary hypertension, mitral valve disease, and constrictive pericarditis. Treatment plan includes optimization of medical therapy for heart failure with diuretics and consideration for referral to cardiology for further evaluation and management of the tricuspid valve disease. Patient education provided on lifestyle modifications including sodium restriction and regular exercise. Follow-up scheduled in four weeks to assess response to treatment and discuss further diagnostic testing if indicated. ICD-10 code I07.1 for tricuspid regurgitation assigned.