I07.2

What This Code Means

This condition involves damage to the tricuspid valve (the valve on the right side of the heart) caused by rheumatic fever, resulting in both narrowing (stenosis) and leaking (insufficiency) of the valve. This restricts blood flow through the heart and can lead to heart failure and fluid buildup in the body.

Coding Tips

• •This code is used when both stenosis and insufficiency of the tricuspid valve are present due to rheumatic heart disease; do not use separate codes for each condition
• •Verify documentation confirms rheumatic etiology (history of rheumatic fever) rather than other causes of tricuspid valve disease, as this distinction is critical for accurate coding