I36

Non-Billable
ChapterI00–I99
Rankcategory
Official Description

Nonrheumatic tricuspid valve disorders

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

Excludes1(Not coded here. Use a different code.)
  • tricuspid valve disorders of unspecified cause (I07.-)
  • tricuspid valve disorders specified as congenital (Q22.4, Q22.8, Q22.9)
  • tricuspid valve disorders specified as rheumatic (I07.-)
  • tricuspid valve disorders with aortic and/or mitral valve involvement (I08.-)

Clinical Hierarchy

BillableHas subcodes
CH9Diseases of the circulatory system (I00-I99)
I30-I5AOther forms of heart disease (I30-I5A)
I36Nonrheumatic tricuspid valve disordersNot billable
I36.0Nonrheumatic tricuspid (valve) stenosisBillable
I36.1Nonrheumatic tricuspid (valve) insufficiencyBillable
I36.2Nonrheumatic tricuspid (valve) stenosis with insufficiencyBillable
I36.8Other nonrheumatic tricuspid valve disordersBillable
I36.9Nonrheumatic tricuspid valve disorder, unspecifiedBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to I36:

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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