I36.2
I36.2: Nonrheumatic tricuspid (valve) stenosis with insufficiency
Billable / specific codeICD-10-CM
I36.2 is a billable, specific ICD-10-CM code for nonrheumatic tricuspid (valve) stenosis with insufficiency. It is valid for submission on a claim.
Check I36.2 with the rest of the claim: free scrubberExcludes1 inherited from the categories above I36.2
A category’s note binds every code beneath it.
Written on I36: Nonrheumatic tricuspid valve disorders
Other codes that can never be billed with I36.2
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.
Medicare coverage
I36.2 is named in 16 Medicare coverage policies: 16 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
- A56476Billing and Coding: Cardiac Radionuclide Imaging
Alphabetic index entries that lead here
- Insufficiency, insufficient›tricuspid›nonrheumatic›with stenosis
- Stenosis, stenotic›tricuspid›nonrheumatic›with insufficiency
Code history
Unchanged in every release from FY2024 to FY2027.