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ICD-10-CM Codes
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2023 ICD-10-CM Diagnosis Code I09.81
2023 ICD-10-CM Diagnosis Code I09.81
Rheumatic heart failure
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
- I09.81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
- The 2023 edition of ICD-10-CM I09.81 became effective on October 1, 2022.
- This is the American ICD-10-CM version of I09.81 - other international versions of ICD-10 I09.81 may differ.
Use AdditionalUse Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
The following code(s) above
I09.81 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
- Applicable To annotations, or
- Code Also annotations, or
- Code First annotations, or
- Excludes1 annotations, or
- Excludes2 annotations, or
- Includes annotations, or
- Note annotations, or
- Use Additional annotations
that may be applicable to
I09.81:
- Congestive rheumatic heart failure
ICD-10-CM I09.81 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
- 222 Cardiac defibrillator implant with cardiac catheterization with ami, hf or shock with mcc
- 223 Cardiac defibrillator implant with cardiac catheterization with ami, hf or shock without mcc
- 291 Heart failure and shock with mcc
- 292 Heart failure and shock with cc
- 293 Heart failure and shock without cc/mcc
- 791 Prematurity with major problems
- 793 Full term neonate with major problems
Convert I09.81 to ICD-9-CM
Code History
- 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
- 2017 (effective 10/1/2016): No change
- 2018 (effective 10/1/2017): No change
- 2019 (effective 10/1/2018): No change
- 2020 (effective 10/1/2019): No change
- 2021 (effective 10/1/2020): No change
- 2022 (effective 10/1/2021): No change
- 2023 (effective 10/1/2022): No change
Code annotations containing back-references to I09.81:
- Failure, failed
- heart (acute) (senile) (sudden) I50.9
ICD-10-CM Diagnosis Code I50.9
Heart failure, unspecified
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
Applicable To- Cardiac, heart or myocardial failure NOS
- Congestive heart disease
- Congestive heart failure NOS
Type 2 Excludes- fluid overload unrelated to congestive heart failure (E87.70)
- congestive I50.9
ICD-10-CM Diagnosis Code I50.9
Heart failure, unspecified
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
Applicable To- Cardiac, heart or myocardial failure NOS
- Congestive heart disease
- Congestive heart failure NOS
Type 2 Excludes- fluid overload unrelated to congestive heart failure (E87.70)
- ventricular I50.9 - see also Failure, heart
ICD-10-CM Diagnosis Code I50.9
Heart failure, unspecified
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
Applicable To- Cardiac, heart or myocardial failure NOS
- Congestive heart disease
- Congestive heart failure NOS
Type 2 Excludes- fluid overload unrelated to congestive heart failure (E87.70)
- left I50.1 - see also Failure, heart, left
ICD-10-CM Diagnosis Code I50.1
Left ventricular failure, unspecified
2016 2017 2018 - Revised Code 2019 2020 2021 2022 2023 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.-)
- Fever (inanition) (of unknown origin) (persistent) (with chills) (with rigor) R50.9
ICD-10-CM Diagnosis Code R50.9
Fever, unspecified
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
Applicable To- Fever NOS
- Fever of unknown origin [FUO]
- Fever with chills
- Fever with rigors
- Hyperpyrexia NOS
- Persistent fever
- Pyrexia NOS
- rheumatic (active) (acute) (chronic) (subacute) I00
ICD-10-CM Diagnosis Code I00
Rheumatic fever without heart involvement
2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
Includes- arthritis, rheumatic, acute or subacute
Type 1 Excludes- rheumatic fever with heart involvement (I01.0 -I01.9)
- inactive or quiescent with
- heart failure I09.81 (congestive) (conditions in category I50.)
- left ventricular failure I09.81 (conditions in I50.1-I50.4-)
ICD-10-CM Codes Adjacent To I09.81
I08.1 Rheumatic disorders of both mitral and tricuspid valves
I08.2 Rheumatic disorders of both aortic and tricuspid valves
I08.3 Combined rheumatic disorders of mitral, aortic and tricuspid valves
I08.8 Other rheumatic multiple valve diseases
I08.9 Rheumatic multiple valve disease, unspecified
I09 Other rheumatic heart diseases
I09.0 Rheumatic myocarditis
I09.1 Rheumatic diseases of endocardium, valve unspecified
I09.2 Chronic rheumatic pericarditis
I09.8 Other specified rheumatic heart diseases
I09.81
Rheumatic heart failure
I09.89 Other specified rheumatic heart diseases
I09.9 Rheumatic heart disease, unspecified
I10 Essential (primary) hypertension
I11 Hypertensive heart disease
I11.0 Hypertensive heart disease with heart failure
I11.9 Hypertensive heart disease without heart failure
I12 Hypertensive chronic kidney disease
I12.0 Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
I12.9 Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I13 Hypertensive heart and chronic kidney disease
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
