I37.9

I37.9: Nonrheumatic pulmonary valve disorder, unspecified

Billable / specific codeICD-10-CM

I37.9 is a billable, specific ICD-10-CM code for nonrheumatic pulmonary valve disorder, unspecified. It is valid for submission on a claim.

Check I37.9 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above I37.9

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

I37.9 is named in 9 Medicare coverage policies: 9 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)
A56476Billing and Coding: Cardiac Radionuclide Imaging
A56625Billing and Coding: Echocardiography

Alphabetic index entries that lead here

Disease, diseased›pulmonary›valve
Lesion›pulmonary›valve

Code history

Unchanged in every release from FY2024 to FY2027.