I37.2
BillableNonrheumatic pulmonary valve stenosis with insufficiency
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
A pulmonary valve condition where the valve is both narrowed (stenosis) and leaky (insufficiency), not caused by rheumatic fever, affecting blood flow to the lungs.
Coding Tips
- •This code requires documentation of both stenosis AND insufficiency of the pulmonary valve
- •Confirm the nonrheumatic etiology is documented in the clinical record
Code Hierarchy
└I37Nonrheumatic pulmonary valve disorders└I37.2Nonrheumatic pulmonary valve stenosis with insufficiency
└I37.2Nonrheumatic pulmonary valve stenosis with insufficiency