I07 vs I36
I07 (Rheumatic tricuspid valve diseases) compared with I36 (Nonrheumatic tricuspid valve disorders), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. I07 carries an Excludes1 note covering I36: “tricuspid valve disease specified as nonrheumatic (I36.-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. I36 carries an Excludes1 note covering I07: “tricuspid valve disorders of unspecified cause (I07.-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. I36 carries an Excludes1 note covering I07: “tricuspid valve disorders specified as rheumatic (I07.-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| I07Rheumatic tricuspid valve diseases | I36Nonrheumatic tricuspid valve disorders | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | I00-I99 — Diseases of the Circulatory System (I00-I99) | I00-I99 — Diseases of the Circulatory System (I00-I99) |
| Definition | Rheumatic tricuspid valve diseases is a non-billable ICD-10-CM category code (I07). | Nonrheumatic tricuspid valve disorders is a non-billable ICD-10-CM category code (I36). |
| Includes | rheumatic tricuspid valve diseases specified as rheumatic or unspecified | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources