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Compare/I37 vs Q22.1

I37 vs Q22.1

I37 (Nonrheumatic pulmonary valve disorders) compared with Q22.1 (Congenital pulmonary valve stenosis), 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. I37 carries an Excludes1 note covering Q22.1: “pulmonary valve disorder specified as congenital (Q22.1, Q22.2, Q22.3)”

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

I37Nonrheumatic pulmonary valve disordersQ22.1Congenital pulmonary valve stenosis
Billing statusNon-billable header

Report instead: I37.0, I37.1, I37.2, I37.8, I37.9

Billable
ClassificationI00-I99 — Diseases of the Circulatory System (I00-I99)Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
DefinitionNonrheumatic pulmonary valve disorders is a non-billable ICD-10-CM category code (I37).Congenital pulmonary valve stenosis is a billable ICD-10-CM diagnosis code (Q22.1).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources