I37.1

I37.1: Nonrheumatic pulmonary valve insufficiency

Billable / specific codeICD-10-CM

I37.1 is a billable, specific ICD-10-CM code for nonrheumatic pulmonary valve insufficiency. It is valid for submission on a claim.

Check I37.1 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Nonrheumatic pulmonary valve incompetence
Nonrheumatic pulmonary valve regurgitation

Excludes1 inherited from the categories above I37.1

A category’s note binds every code beneath it.

Written on I37: Nonrheumatic pulmonary valve disorders

pulmonary valve disorder specified as congenital (Q22.1, Q22.2, Q22.3)
pulmonary valve disorder specified as rheumatic (I09.89)

Risk adjustment

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

Medicare coverage

I37.1 is named in 18 Medicare coverage policies: 18 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

Incompetency, incompetent, incompetence›pulmonary valve(heart)
Murmur›Graham Steell
Regurgitation›pulmonary(valve) (heart)
Incompetency, incompetent, incompetence›annular›pulmonary valve(heart)
Insufficiency, insufficient›pulmonary›valve

Code history

Unchanged in every release from FY2024 to FY2027.