DRG 223

Cardiac defibrillator implant with cardiac catheterization with ami/hf/shock without mcc

ICD-10-CM I09.81

Rheumatic heart failure

    2016 2017 2018 Billable/Specific Code
Use Additional
  • code to identify type of heart failure (I50.-)
ICD-10-CM I11.0

Hypertensive heart disease with heart failure

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Hypertensive heart failure
Use Additional
  • code to identify type of heart failure (I50.-)
ICD-10-CM 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

    2016 2017 2018 Billable/Specific Code
Use Additional
  • code to identify type of heart failure (I50.-)
ICD-10-CM I13.2

Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease

    2016 2017 2018 Billable/Specific Code
Use Additional
  • code to identify type of heart failure (I50.-)
ICD-10-CM I21.01

ST elevation (STEMI) myocardial infarction involving left main coronary artery

    2016 2017 2018 Billable/Specific Code
ICD-10-CM I21.02

ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery

    2016 2017 2018 Billable/Specific Code
Applicable To
  • ST elevation (STEMI) myocardial infarction involving diagonal coronary artery
ICD-10-CM I21.09

ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Acute transmural myocardial infarction of anterior wall
  • Anteroapical transmural (Q wave) infarction (acute)
  • Anterolateral transmural (Q wave) infarction (acute)
  • Anteroseptal transmural (Q wave) infarction (acute)
  • Transmural (Q wave) infarction (acute) (of) anterior (wall) NOS
ICD-10-CM I21.11

ST elevation (STEMI) myocardial infarction involving right coronary artery

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Inferoposterior transmural (Q wave) infarction (acute)
ICD-10-CM I21.19

ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Acute transmural myocardial infarction of inferior wall
  • Inferolateral transmural (Q wave) infarction (acute)
  • Transmural (Q wave) infarction (acute) (of) diaphragmatic wall
  • Transmural (Q wave) infarction (acute) (of) inferior (wall) NOS
Type 2 Excludes
  • ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery (I21.21)
ICD-10-CM I21.21

ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery

    2016 2017 2018 Billable/Specific Code
Applicable To
  • ST elevation (STEMI) myocardial infarction involving oblique marginal coronary artery
ICD-10-CM I21.29

ST elevation (STEMI) myocardial infarction involving other sites

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Acute transmural myocardial infarction of other sites
  • Apical-lateral transmural (Q wave) infarction (acute)
  • Basal-lateral transmural (Q wave) infarction (acute)
  • High lateral transmural (Q wave) infarction (acute)
  • Lateral (wall) NOS transmural (Q wave) infarction (acute)
  • Posterior (true) transmural (Q wave) infarction (acute)
  • Posterobasal transmural (Q wave) infarction (acute)
  • Posterolateral transmural (Q wave) infarction (acute)
  • Posteroseptal transmural (Q wave) infarction (acute)
  • Septal transmural (Q wave) infarction (acute) NOS
ICD-10-CM I21.3

ST elevation (STEMI) myocardial infarction of unspecified site

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Acute transmural myocardial infarction of unspecified site
  • Transmural (Q wave) myocardial infarction NOS
  • Type 1 ST elevation myocardial infarction of unspecified site
ICD-10-CM I21.4

Non-ST elevation (NSTEMI) myocardial infarction

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Acute subendocardial myocardial infarction
  • Non-Q wave myocardial infarction NOS
  • Nontransmural myocardial infarction NOS
  • Type 1 non-ST elevation myocardial infarction
ICD-10-CM I21.9

Acute myocardial infarction, unspecified

    2018 - New Code Billable/Specific Code
Applicable To
  • Myocardial infarction (acute) NOS
ICD-10-CM I21.A1

Myocardial infarction type 2

    2018 - New Code Billable/Specific Code
Applicable To
  • Myocardial infarction due to demand ischemia
  • Myocardial infarction secondary to ischemic imbalance
Code Also
ICD-10-CM I21.A9

Other myocardial infarction type

    2018 - New Code Billable/Specific Code
Applicable To
  • Myocardial infarction associated with revascularization procedure
  • Myocardial infarction type 3
  • Myocardial infarction type 4a
  • Myocardial infarction type 4b
  • Myocardial infarction type 4c
  • Myocardial infarction type 5
Code First
  • , if applicable, postprocedural myocardial infarction following cardiac surgery (I97.190), or postprocedural myocardial infarction during cardiac surgery (I97.790)
Code Also
  • complication, if known and applicable, such as:
  • (acute) stent occlusion (T82.897-)
  • (acute) stent stenosis (T82.857-)
  • (acute) stent thrombosis (T82.867-)
  • cardiac arrest due to underlying cardiac condition (I46.2)
  • complication of percutaneous coronary intervention (PCI) (I97.89)
  • occlusion of coronary artery bypass graft (T82.218-)
ICD-10-CM I22.0

Subsequent ST elevation (STEMI) myocardial infarction of anterior wall

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Subsequent acute transmural myocardial infarction of anterior wall
  • Subsequent transmural (Q wave) infarction (acute)(of) anterior (wall) NOS
  • Subsequent anteroapical transmural (Q wave) infarction (acute)
  • Subsequent anterolateral transmural (Q wave) infarction (acute)
  • Subsequent anteroseptal transmural (Q wave) infarction (acute)
ICD-10-CM I22.1

Subsequent ST elevation (STEMI) myocardial infarction of inferior wall

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Subsequent acute transmural myocardial infarction of inferior wall
  • Subsequent transmural (Q wave) infarction (acute)(of) diaphragmatic wall
  • Subsequent transmural (Q wave) infarction (acute)(of) inferior (wall) NOS
  • Subsequent inferolateral transmural (Q wave) infarction (acute)
  • Subsequent inferoposterior transmural (Q wave) infarction (acute)
ICD-10-CM I22.2

Subsequent non-ST elevation (NSTEMI) myocardial infarction

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Subsequent acute subendocardial myocardial infarction
  • Subsequent non-Q wave myocardial infarction NOS
  • Subsequent nontransmural myocardial infarction NOS
ICD-10-CM I22.8

Subsequent ST elevation (STEMI) myocardial infarction of other sites

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Subsequent acute transmural myocardial infarction of other sites
  • Subsequent apical-lateral transmural (Q wave) myocardial infarction (acute)
  • Subsequent basal-lateral transmural (Q wave) myocardial infarction (acute)
  • Subsequent high lateral transmural (Q wave) myocardial infarction (acute)
  • Subsequent transmural (Q wave) myocardial infarction (acute)(of) lateral (wall) NOS
  • Subsequent posterior (true)transmural (Q wave) myocardial infarction (acute)
  • Subsequent posterobasal transmural (Q wave) myocardial infarction (acute)
  • Subsequent posterolateral transmural (Q wave) myocardial infarction (acute)
  • Subsequent posteroseptal transmural (Q wave) myocardial infarction (acute)
  • Subsequent septal NOS transmural (Q wave) myocardial infarction (acute)
ICD-10-CM I22.9

Subsequent ST elevation (STEMI) myocardial infarction of unspecified site

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Subsequent acute myocardial infarction of unspecified site
  • Subsequent myocardial infarction (acute) NOS
ICD-10-CM I50.1

Left ventricular failure, unspecified

    2016 2017 2018 - Revised Code Billable/Specific Code
Applicable To
  • Cardiac asthma
  • Edema of lung with heart disease NOS
  • Edema of lung with heart failure
  • Left heart failure
  • Pulmonary edema with heart disease NOS
  • Pulmonary edema with heart failure
Type 1 Excludes
  • edema of lung without heart disease or heart failure (J81.-)
  • pulmonary edema without heart disease or failure (J81.-)
ICD-10-CM I50.20

Unspecified systolic (congestive) heart failure

    2016 2017 2018 Billable/Specific Code
ICD-10-CM I50.21

Acute systolic (congestive) heart failure

    2016 2017 2018 Billable/Specific Code
ICD-10-CM I50.22

Chronic systolic (congestive) heart failure

    2016 2017 2018 Billable/Specific Code
ICD-10-CM I50.23

Acute on chronic systolic (congestive) heart failure

    2016 2017 2018 Billable/Specific Code
ICD-10-CM I50.30

Unspecified diastolic (congestive) heart failure

    2016 2017 2018 Billable/Specific Code
ICD-10-CM I50.31

Acute diastolic (congestive) heart failure

    2016 2017 2018 Billable/Specific Code
ICD-10-CM I50.32

Chronic diastolic (congestive) heart failure

    2016 2017 2018 Billable/Specific Code
ICD-10-CM I50.33

Acute on chronic diastolic (congestive) heart failure

    2016 2017 2018 Billable/Specific Code
ICD-10-CM I50.40

Unspecified combined systolic (congestive) and diastolic (congestive) heart failure

    2016 2017 2018 Billable/Specific Code
ICD-10-CM I50.41

Acute combined systolic (congestive) and diastolic (congestive) heart failure

    2016 2017 2018 Billable/Specific Code
ICD-10-CM I50.42

Chronic combined systolic (congestive) and diastolic (congestive) heart failure

    2016 2017 2018 Billable/Specific Code
ICD-10-CM I50.43

Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure

    2016 2017 2018 Billable/Specific Code
ICD-10-CM I50.810

Right heart failure, unspecified

    2018 - New Code Billable/Specific Code
Applicable To
  • Right heart failure without mention of left heart failure
  • Right ventricular failure NOS
ICD-10-CM I50.811

Acute right heart failure

    2018 - New Code Billable/Specific Code
Applicable To
  • Acute isolated right heart failure
  • Acute (isolated) right ventricular failure
ICD-10-CM I50.812

Chronic right heart failure

    2018 - New Code Billable/Specific Code
Applicable To
  • Chronic isolated right heart failure
  • Chronic (isolated) right ventricular failure
ICD-10-CM I50.813

Acute on chronic right heart failure

    2018 - New Code Billable/Specific Code
Applicable To
  • Acute on chronic isolated right heart failure
  • Acute on chronic (isolated) right ventricular failure
  • Acute decompensation of chronic (isolated) right ventricular failure
  • Acute exacerbation of chronic (isolated) right ventricular failure
ICD-10-CM I50.814

Right heart failure due to left heart failure

    2018 - New Code Billable/Specific Code
Applicable To
  • Right ventricular failure secondary to left ventricular failure
Code Also
  • the type of left ventricular failure, if known (I50.2-I50.43)
Type 1 Excludes
  • Right heart failure with but not due to left heart failure (I50.82)
ICD-10-CM I50.82

Biventricular heart failure

    2018 - New Code Billable/Specific Code
Code Also
  • the type of left ventricular failure as systolic, diastolic, or combined, if known (I50.2-I50.43)
ICD-10-CM I50.83

High output heart failure

    2018 - New Code Billable/Specific Code
ICD-10-CM I50.84

End stage heart failure

    2018 - New Code Billable/Specific Code
Applicable To
  • Stage D heart failure
Code Also
  • the type of heart failure as systolic, diastolic, or combined, if known (I50.2-I50.43)
ICD-10-CM I50.89

Other heart failure

    2018 - New Code Billable/Specific Code
ICD-10-CM I50.9

Heart failure, unspecified

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Cardiac, heart or myocardial failure NOS
  • Congestive heart disease
  • Congestive heart failure NOS
Type 2 Excludes
ICD-10-CM R57.0

Cardiogenic shock

    2016 2017 2018 Billable/Specific Code
Type 2 Excludes
ICD-10-CM R57.9

Shock, unspecified

    2016 2017 2018 Billable/Specific Code
Applicable To
  • Failure of peripheral circulation NOS