Is I07 a billable ICD-10-CM code?

No. I07 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does I07 sit in the tabular list?

Diseases of the circulatory system (I00-I99), in the block Chronic rheumatic heart diseases (I05-I09).

What cannot be coded together with I07?

I07 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

I07

I07 — Rheumatic tricuspid valve diseases

Non-billable headerICD-10-CM

I07 is a non-billable header ICD-10-CM code for rheumatic tricuspid valve diseases. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

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

Includes

Conditions this code covers.

rheumatic tricuspid valve diseases specified as rheumatic or unspecified

Other codes that can never be billed with I07

These codes carry an Excludes1 note pointing at I07. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I07 alone.

I36Nonrheumatic tricuspid valve disorders

Risk adjustment

I07 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead I07

5 child codes. Green means billable.

Questions about I07

Is I07 a billable ICD-10-CM code?: No. I07 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does I07 sit in the tabular list?: Diseases of the circulatory system (I00-I99), in the block Chronic rheumatic heart diseases (I05-I09).
What cannot be coded together with I07?: I07 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.