Rheumatic disorders of both aortic and tricuspid valves

This code signifies the presence of rheumatic heart disease affecting both the aortic and tricuspid valves. It indicates a history of rheumatic fever that has led to chronic inflammatory damage and dysfunction of these specific heart valves. The condition can manifest as stenosis, regurgitation, or a combination thereof in both valves.

Use this code when documentation clearly states a diagnosis of rheumatic disease involving both the aortic and tricuspid valves. This typically applies to patients with a history of rheumatic fever presenting with valvular abnormalities confirmed by echocardiography or other diagnostic imaging. Ensure the physician's notes explicitly link the valvular disease to a rheumatic etiology.

• Do not use this code if only one of the specified valves is affected; use more specific codes for single-valve involvement.
• Distinguish from non-rheumatic valvular disorders; the documentation must specify a rheumatic origin.
• Sequence this code as a primary diagnosis when it is the main reason for the encounter, or as a secondary diagnosis if it is a co-morbidity impacting patient care.