Find information on tricuspid valve regurgitation including clinical documentation, medical coding, ICD-10 codes I07.1 and I35.8, and echocardiography findings. Learn about the severity of TR, mild, moderate, or severe, and explore treatment options. This resource provides details on the diagnosis, symptoms, and management of tricuspid regurgitation for healthcare professionals, including physicians, nurses, and medical coders. Understand the pathophysiology, diagnostic criteria, and implications of this cardiac condition.
Also known as
Rheumatic heart diseases
Covers heart conditions caused by rheumatic fever, including valve damage.
Other forms of heart disease
Includes various heart conditions like valve disorders not due to rheumatic fever.
Congenital malformations of heart
Encompasses heart defects present at birth, some causing valve problems.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the tricuspid regurgitation acute?
Yes
Is it due to infective endocarditis?
No
Is it rheumatic?
When to use each related code
| Description |
|---|
| Tricuspid valve leaks, blood flows back. |
| Mitral valve leaks, blood flows back. |
| Pulmonary valve leaks, blood flows back. |
Coding TR without specifying severity (mild, moderate, severe) can lead to inaccurate DRG assignment and reimbursement.
Failing to document the cause of TR (e.g., functional, rheumatic) impacts data quality and clinical care decisions.
Discrepancies between echo report findings and physician notes regarding TR severity create coding and billing challenges.
Patient presents with symptoms suggestive of tricuspid valve regurgitation, including dyspnea on exertion, fatigue, peripheral edema, and abdominal distension. Physical examination reveals jugular venous distension, a pulsatile liver, and a holosystolic murmur best heard at the left lower sternal border, increasing with inspiration. The patient's medical history includes hypertension and hyperlipidemia. Echocardiography confirms the diagnosis of moderate tricuspid regurgitation, demonstrating tricuspid leaflet tethering and annular dilatation. Right ventricular enlargement and systolic dysfunction are also noted. Differential diagnoses considered included pulmonary hypertension and right heart failure. Assessment points towards tricuspid regurgitation secondary to right ventricular dilation. Plan includes medical management with diuretics for symptom control, optimization of heart failure medications, and close monitoring of right ventricular function. Patient education provided on lifestyle modifications, including sodium restriction and weight management. Follow-up echocardiography scheduled in six months to assess disease progression. ICD-10 code I07.1 assigned. Medical billing codes will reflect echocardiogram, evaluation, and management services.