(Medicare Claims Processing Manual)

For claims with dates of service on or after May 1, 2008, artificial hearts in the context of an approved clinical study for a Category A IDE, refer to section 69 in this manual for more detail on CED billing. Appropriate ICD-10 diagnosis and procedure cod es are included below:  ICD-10 Diagnosis Code  Definition  Discharges Effective  I09.81  Rheumatic heart failure  On or After ICD-10 Implementation  I11.0  Hypertensive heart disease with heart failure  I13.0  Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease  I13.2  Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease  I20.0  Unstable angina  I21.01  ST elevation (STEMI) myocardial infarction involving left main coronary artery  I21.02  ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery  I21.09  ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall  I21.11  ST elevation (STEMI) myocardial infarction involving right coronary artery  I21.19  ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall  I21.21  ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery  I21.29  ST elevation (STEMI) myocardial infarction involving other sites I21.3  ST elevation (STEMI) myocardial infarction of unspecified site I21.4  Non-ST elevation (NSTEMI) myocardial infarction  I22.0  Subsequent ST elevation (STEMI) myocardial infarction of anterior wall  I22.1  Subsequent ST elevation (STEMI) myocardial infarction of inferior wall  I22.2  Subsequent non -ST elevation (NSTEMI) myocardial infarction  I22.8  Subsequent ST elevation (STEMI) myocardial infarction of other sites  I22.9  Subsequent ST elevation (STEMI) myocardial infarction of unspecified site  I24.0  Acute coronary thrombosis not resulting in myocardial infarction  I24.1  Dressler's syndrome  I24.8  Other forms of acute ischemic heart disease  I24.9  Acute ischemic heart disease, unspecified  I25.10  Atherosclerotic heart disease of native coronary artery without angina pectoris  I25.110  Atherosclerotic heart disease of native coronary artery with unstable angina pectoris  I25.111  Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm  I25.118  Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris  I25.119  Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris  I25.5  Ischemic cardiomyopathy  I25.6  Silent myocardial ischemia  I25.700  Atherosclerosis of coronary artery bypass graft(s), unspecified, with unstable angina pectoris  I25.701  Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm  I25.708  Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina pectoris  I25.709  Atherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified angina pectoris  I25.710  Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris  I25.711  Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm  I25.718  Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris  I25.719  Atherosclerosis of autologous vein coronary artery bypass graft(s) with unspecified angina pectoris  I25.720  Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris  I25.721  Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm  I25.728  Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris  I25.729  Atherosclerosis of autologous artery coronary artery bypass graft(s) with unspecified angina pectoris  I25.730  Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina pectoris  I25.731  Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm  I25.738  Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris  I25.739  Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unspecified angina pectoris  I25.750  Atherosclerosis of native coronary artery of transplanted heart with unstable angina  I25.751  Atherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm  I25.758  Atherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris  I25.759  Atherosclerosis of native coronary artery of transplanted heart with unspecified angina pectoris  I25.760  Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina  I25.761  Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm  I25.768  Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris  I25.769  Atherosclerosis of bypass graft of coronary artery of transplanted heart with unspecified angina pectoris  I25.790  Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris  I25.791  Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm  I25.798  Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris  I25.799  Atherosclerosis of other coronary artery bypass graft(s) with unspecified angina pectoris  I25.810  Atherosclerosis of coronary artery bypass graft(s) without angina pectoris  I25.811  Atherosclerosis of native coronary artery of transplanted heart without angina pectoris  I25.812  Atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris  I25.89  Other forms of chronic ischemic heart disease  I25.9  Chronic ischemic heart disease, unspecified  I34.0  Nonrheumatic mitral (valve) insufficiency  I34.1  Nonrheumatic mitral (valve) prolapse  I34.2  Nonrheumatic mitral (valve) stenosis  I34.8  Other nonrheumatic mitral valve disorders  I34.9  Nonrheumatic mitral valve disorder, unspecified  I35.0  Nonrheumatic aortic (valve) stenosis  I35.1  Nonrheumatic aortic (valve) insufficiency  I35.2  Nonrheumatic aortic (valve) stenosis with insufficiency  I35.8  Other nonrheumatic aortic valve disorders  I35.9  Nonrheumatic aortic valve disorder, unspecified  I36.0  Nonrheumatic tricuspid (valve) stenosis  I36.1  Nonrheumatic tricuspid (valve) insufficiency  I36.2  Nonrheumatic tricuspid (valve) stenosis with insufficiency  I36.8  Other nonrheumatic tricuspid valve disorders  I36.9  Nonrheumatic tricuspid valve disorder, unspecified  I37.0  Nonrheumatic pulmonary valve stenosis  I37.1  Nonrheumatic pulmonary valve insufficiency  I37.2  Nonrheumatic pulmonary valve stenosis with insufficiency  I37.8  Other nonrheumatic pulmonary valve disorders  I37.9  Nonrheumatic pulmonary valve disorder, unspecified  I38 Endocarditis, valve unspecified  I39 Endocarditis and heart valve disorders in diseases classified elsewhere  I42.0  Dilated cardiomyopathy  I42.2  Other hypertrophic cardiomyopathy  I42.3  Endomyocardial (eosinophilic) disease  I42.4  Endocardial fibroelastosis  I42.5  Other restrictive cardiomyopathy  I42.6  Alcoholic cardiomyopathy  I42.7  Cardiomyopathy due to drug and external agent  I42.8  Other cardiomyopathies  I42.9  Cardiomyopathy, unspecified  I43 Cardiomyopathy in diseases classified elsewhere  I46.2  Cardiac arrest due to underlying cardiac condition  I46.8  Cardiac arrest due to other underlying condition  I46.9  Cardiac arrest, cause unspecified  I47.0  Re-entry ventricular arrhythmia  I47.1  Supraventricular tachycardia  I47.2  Ventricular tachycardia  I47.9  Paroxysmal tachycardia, unspecified  I48.0  Atrial fibrillation  I48.1  Atrial flutter  I49.01  Ventricular fibrillation  I49.02  Ventricular flutter  I49.1  Atrial premature depolarization  I49.2  Junctional premature depolarization  I49.3  Ventricular premature depolarization  I49.40  Unspecified premature depolarization  I49.49  Other premature depolarization  I49.5  Sick sinus syndrome  I49.8  Other specified cardiac arrhythmias  I49.9  Cardiac arrhythmia, unspecified  I50.1  Left ventricular failure  I50.20  Unspecified systolic (congestive) heart failure  I50.21  Acute systolic (congestive) heart failure  I50.22  Chronic systolic (congestive) heart failure  I50.23  Acute on chronic systolic (congestive) heart failure  I50.30  Unspecified diastolic (congestive) heart failure  I50.31  Acute diastolic (congestive) heart failure  I50.32  Chronic diastolic (congestive) heart failure  I50.33  Acute on chronic diastolic (congestive) heart failure  I50.40  Unspecified combined systolic (congestive) and diastolic (congestive) heart failure  I50.41  Acute combined systolic (congestive) and diastolic (congestive) heart failure  I50.42  Chronic combined systolic (congestive) and diastolic (congestive) heart failure  I50.43  Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure  I50.9  Heart failure, unspecified  I51.4  Myocarditis, unspecified  I51.9  Heart disease, unspecified  I52 Other heart disorders in diseases classified elsewhere  I97.0  Postcardiotomy syndrome  I97.110  Postprocedural cardiac insufficiency following cardiac surgery  I97.111  Postprocedural cardiac insufficiency following other surgery  I97.120  Postprocedural cardiac arrest following cardiac surgery  I97.121  Postprocedural cardiac arrest following other surgery  I97.130  Postprocedural heart failure following cardiac surgery  I97.131  Postprocedural heart failure following other surgery  I97.190  Other postprocedural cardiac functional disturbances following cardiac surgery  I97.191  Other postprocedural cardiac functional disturbances following other surgery  I97.710  Intraoperative cardiac arrest during cardiac surgery  I97.711  Intraoperative cardiac arrest during other surgery