I36.1

Nonrheumatic tricuspid (valve) insufficiency

Billable / specific

I36.1 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Applicable to

  • Nonrheumatic tricuspid (valve) incompetence
  • Nonrheumatic tricuspid (valve) regurgitation

Excludes1

Not coded here — never report together with this code.

  • tricuspid valve disorders of unspecified cause (I07.-) (from I36)
  • tricuspid valve disorders specified as congenital (Q22.4, Q22.8, Q22.9) (from I36)
  • tricuspid valve disorders specified as rheumatic (I07.-) (from I36)
  • tricuspid valve disorders with aortic and/or mitral valve involvement (I08.-) (from I36)

Excludes2

Not included here — may be reported together when both conditions exist.

  • certain conditions originating in the perinatal period (P04-P96) (from I36)
  • certain infectious and parasitic diseases (A00-B99) (from I36)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A) (from I36)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99) (from I36)
  • endocrine, nutritional and metabolic diseases (E00-E88) (from I36)
  • injury, poisoning and certain other consequences of external causes (S00-T88) (from I36)
  • neoplasms (C00-D49) (from I36)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) (from I36)
  • systemic connective tissue disorders (M30-M36) (from I36)
  • transient cerebral ischemic attacks and related syndromes (G45.-) (from I36)

Also known as

  • Nonrheumatic tricuspid (valve) incompetence
  • Nonrheumatic tricuspid (valve) regurgitation
  • Insufficiency, insufficient, tricuspid, nonrheumatic

Parent code

  • I36Nonrheumatic tricuspid valve disordersHeader

Related codes

  • I36.0Nonrheumatic tricuspid (valve) stenosisBillable
  • I36.2Nonrheumatic tricuspid (valve) stenosis with insufficiencyBillable
  • I36.8Other nonrheumatic tricuspid valve disordersBillable
  • I36.9Nonrheumatic tricuspid valve disorder, unspecifiedBillable

Browse