Comb rheumatic disord of mitral, aortic and tricuspid valves

This code signifies the simultaneous presence of rheumatic disease affecting all three major heart valves: the mitral, aortic, and tricuspid valves. It indicates a systemic inflammatory process that has caused damage and dysfunction to these critical cardiac structures.

This code is appropriate when documentation clearly indicates a diagnosis of rheumatic heart disease impacting the mitral, aortic, and tricuspid valves concurrently. This typically follows a history of acute rheumatic fever and subsequent valvular damage identified through echocardiography or other diagnostic imaging.

• Ensure documentation explicitly states involvement of all three valves (mitral, aortic, and tricuspid) due to rheumatic etiology.
• Do not use this code if only one or two of these valves are affected; specific codes for individual or dual valve involvement exist.
• Consider sequencing this code as a primary diagnosis when it is the main reason for the encounter, or as a secondary diagnosis when managing complications.