Is ICD-10-CM code I07 billable?

No, I07 (Rheumatic tricuspid valve diseases) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code I07 belong to?

I07 belongs to Chapter 9 of the ICD-10-CM tabular list: I00–I99 (Diseases of the Circulatory System).

I07

Non-Billable

ChapterI00–I99

Rankcategory

Description

Rheumatic tricuspid valve diseases

About ICD-10-CM code I07

I07 is the ICD-10-CM diagnosis code for Rheumatic tricuspid valve diseases. It sits in I00-I99 Diseases of the Circulatory System, within Chronic rheumatic heart diseases (I05-I09). I07 is not billable on its own, coders must choose one of its more specific child codes instead.

Use a more specific code (5 billable)

I07.0Rheumatic tricuspid stenosis I07.1Rheumatic tricuspid insufficiency I07.2Rheumatic tricuspid stenosis and insufficiency I07.8Other rheumatic tricuspid valve diseases I07.9Rheumatic tricuspid valve disease, unspecified

Metadata & Insights

•Non-billable category (requires more specific sub-code).
•Chapter 9: Diseases of the Circulatory System (I00-I99).

CH9 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)

certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
systemic connective tissue disorders (M30-M36)
transient cerebral ischemic attacks and related syndromes (G45.-)

Instructional Notes

Includes

rheumatic tricuspid valve diseases specified as rheumatic or unspecified

Excludes1(Not coded here. Use a different code.)

tricuspid valve disease specified as nonrheumatic (I36.-)
tricuspid valve disease with aortic and/or mitral valve involvement (I08.-)

Clinical Hierarchy

BillableHas subcodes

CH9Diseases of the circulatory system (I00-I99)

I05-I09Chronic rheumatic heart diseases (I05-I09)

I07Rheumatic tricuspid valve diseasesNot billable

I07.0Rheumatic tricuspid stenosisBillable

I07.1Rheumatic tricuspid insufficiencyBillable

I07.2Rheumatic tricuspid stenosis and insufficiencyBillable

I07.8Other rheumatic tricuspid valve diseasesBillable

I07.9Rheumatic tricuspid valve disease, unspecifiedBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to I07:

chapterCH9

Diseases of the circulatory system (I00-I99)

View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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