ICD Code I36.1

ICD code I36.1 is nonrheumatic tricuspid valve insufficiency, which refers to a condition where the tricuspid valve in the heart does not close properly, allowing blood to flow backward, and the cause is not related to rheumatic fever.

1. Evidence of tricuspid valve regurgitation on echocardiography or other imaging modalities

2. Absence of clinical or laboratory findings suggestive of rheumatic heart disease

3. Presence of symptoms such as fatigue, peripheral edema, ascites, or jugular venous distention

4. Signs of right-sided heart failure, including hepatomegaly or pleural effusion

5. History of conditions associated with nonrheumatic causes, such as infective endocarditis, congenital valve abnormalities, or trauma

6. No history of acute rheumatic fever or rheumatic carditis

Relevant CPT codes for ICD-10 code I36.1 include:

- 33430: Replacement, tricuspid valve, with cardiopulmonary bypass

- 33422: Valvuloplasty, tricuspid valve, with or without ring

- 33420: Tricuspid valve repair, open, with or without bypass

- 93580: Percutaneous transcatheter closure of paravalvular leak, tricuspid

- 93581: Percutaneous transcatheter tricuspid valve repair

These CPT codes are commonly associated with the treatment of I36.1.

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