I37.2

I37.2: Nonrheumatic pulmonary valve stenosis with insufficiency

Billable / specific codeICD-10-CM

I37.2 is a billable, specific ICD-10-CM code for nonrheumatic pulmonary valve stenosis with insufficiency. It is valid for submission on a claim.

Check I37.2 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above I37.2

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

I37.2 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

Insufficiency, insufficient›pulmonary›valve›with stenosis
Stenosis, stenotic›pulmonary›valve›with insufficiency

Code history

Unchanged in every release from FY2024 to FY2027.