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I36.9

Billable

Nonrheumatic tricuspid valve disorder, unspecified

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

What This Code Means

A tricuspid valve disorder that is not caused by rheumatic fever, but the specific type or nature of the valve problem is not clearly documented.

Coding Tips

  • •This is an unspecified code; use only when documentation lacks sufficient detail about the tricuspid valve pathology
  • •Attempt to obtain clarification from the provider about whether stenosis, insufficiency, or another specific condition is present

Code Hierarchy

└I36Nonrheumatic tricuspid valve disorders└I36.9Nonrheumatic tricuspid valve disorder, unspecified
└I36.9Nonrheumatic tricuspid valve disorder, unspecified

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