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I36.0

Billable

Nonrheumatic tricuspid (valve) stenosis

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Narrowing of the tricuspid valve (the valve on the right side of the heart) that is not caused by rheumatic fever, restricting blood flow from the right atrium to the right ventricle.

Coding Tips

  • Confirm the stenosis is nonrheumatic in origin; rheumatic tricuspid stenosis would be coded differently under I07
  • Document whether this is isolated stenosis or if insufficiency is also present (use I36.2 if both conditions exist)

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