I36Not billable, use a more specific code below

Nonrheumatic tricuspid valve disorders

In Other forms of heart disease (I30-I5A), chapter 9: Diseases of the Circulatory System

5 billable codes under I36: none are a CC or MCC; none map to an HCC.

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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.-)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers hypertension with heart and kidney disease, coronary artery disease with angina, perioperative stroke, cerebrovascular sequelae, and acute myocardial infarction types and timing.

Read Section I.C.9 (page 50)

I36 MS-DRGs

As the principal diagnosis, all 5 billable codes under I36 group to MS-DRG 306 or 307 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to I36

Notes on these codes point to I36.

  • I07 Excludes1: tricuspid valve disease specified as nonrheumatic (I36.-)
  • I08 Excludes2: multiple valve disease specified as nonrheumatic (I34.-, I35.-, I36.-, I37.-, I38.-, Q22.-, Q23.-, Q24.8-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Heart Valve Diseases

Heart valve disease happens when one or more of your heart valves don't work well. Your heart has four valves: the tricuspid, pulmonary, mitral, and aortic valves. The valves have flaps that open and close. The flaps make sure that blood flows in the right direction through your heart and to the rest of your body. When your heart beats, the flaps open to let blood through. Between heartbeats they close to stop the blood from flowing backwards.

Read more about heart valve diseases on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.