MCMedicalCodingSoftware
I36

I36: Nonrheumatic tricuspid valve disorders

Non-billable headerICD-10-CM

I36 is a non-billable header ICD-10-CM code for nonrheumatic tricuspid valve disorders. 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 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.-)

Other codes that can never be billed with I36

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • I07Rheumatic tricuspid valve diseases

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead I36

5 child codes. Green means billable.

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.