ICD-10 Code I07.1 – Rheumatic tricuspid insufficiency (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code I07.1 – Rheumatic tricuspid insufficiency
What it is
I07.1 identifies tricuspid valve leakage caused by rheumatic heart disease. Use it when the record documents rheumatic involvement of the tricuspid valve with regurgitation or insufficiency.
Clinical signs
Clinical features vary; refer to documentation. Common findings may include a systolic murmur consistent with tricuspid regurgitation and signs of right-sided valvular disease on examination or imaging.
When to use this code
Use this code when the provider documents rheumatic tricuspid insufficiency, tricuspid regurgitation due to rheumatic disease, or rheumatic valvular disease affecting the tricuspid valve. It may appear in cardiology notes, echocardiogram interpretations, or discharge summaries. Code the documented diagnosis, not a suspected murmur alone.
Do not use for
Do not use I07.1 for nonrheumatic tricuspid insufficiency or for a nonspecific heart murmur without a documented diagnosis. Check documentation if the cause of valve leakage is unclear.
Coding tip
Confirm that the chart links the tricuspid insufficiency to rheumatic disease before assigning I07.1.