2020 ICD-10-CM Diagnosis Code I42.9

Cardiomyopathy, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code
  • I42.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM I42.9 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of I42.9 - other international versions of ICD-10 I42.9 may differ.
Applicable To
  • Cardiomyopathy (primary) (secondary) NOS
The following code(s) above I42.9 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 I42.9:
  • I00-I99
    2020 ICD-10-CM Range I00-I99

    Diseases of the circulatory system

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    • systemic connective tissue disorders (M30-M36)
    • transient cerebral ischemic attacks and related syndromes (G45.-)
    Diseases of the circulatory system
  • I42
    ICD-10-CM Diagnosis Code I42

    Cardiomyopathy

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code First
    • pre-existing cardiomyopathy complicating pregnancy and puerperium (O99.4)
    Includes
    • myocardiopathy
    Type 2 Excludes
    • ischemic cardiomyopathy (I25.5)
    • peripartum cardiomyopathy (O90.3)
    • ventricular hypertrophy (I51.7)
    Cardiomyopathy
Approximate Synonyms
  • Cardiomyopathy
  • Cardiomyopathy (disease of heart muscle)
  • Cardiomyopathy associated with another disorder
  • Cardiomyopathy, primary (heart condition)
  • Congestive heart failure (chf) with cardiomyopathy
  • Congestive heart failure due to cardiomyopathy
  • Primary cardiomyopathy
  • Secondary cardiomyopathy
  • Tachycardia induced cardiomyopathy
Clinical Information
  • A disease of the heart muscle or myocardium proper. Cardiomyopathies may be classified as either primary or secondary, on the basis of etiology, or on the pathophysiology of the lesion: hypertrophic, dilated, or restrictive.
  • A group of diseases in which the dominant feature is the involvement of the cardiac muscle itself. Cardiomyopathies are classified according to their predominant pathophysiological features (dilated cardiomyopathy; hypertrophic cardiomyopathy; restrictive cardiomyopathy) or their etiological/pathological factors (cardiomyopathy, alcoholic; endocardial fibroelastosis).
  • Cardiomyopathy refers to diseases of the heart muscle. These diseases enlarge your heart muscle or make it thicker and more rigid than normal. In rare cases, scar tissue replaces the muscle tissue.some people live long, healthy lives with cardiomyopathy. Some people don't even realize they have it. In others, however, it can make the heart less able to pump blood through the body. This can cause serious complications, including
    • heart failure
    • abnormal heart rhythms
    • fluid buildup in your lungs or legs
    • endocarditis, an inflammation of the heart lining
    heart attacks, high blood pressure or infections can all cause cardiomyopathy. Some types of cardiomyopathy run in families. In many people, however, the cause is unknown. Treatment might involve medicines, surgery, other medical procedures and lifestyle changes.
  • Condition in which there is a deviation from or interruption of the normal structure or function of the myocardium, the middle and thickest layer of the heart wall, composed of heart muscle.
ICD-10-CM I42.9 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 314 Other circulatory system diagnoses with mcc
  • 315 Other circulatory system diagnoses with cc
  • 316 Other circulatory system diagnoses without cc/mcc

Convert I42.9 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

Diagnosis Index entries containing back-references to I42.9:
  • Cardiomyopathy (familial) (idiopathic) I42.9
    • secondary I42.9
  • Cardiopathy I51.9
    - see also Disease, heart
    ICD-10-CM Diagnosis Code I51.9

    Heart disease, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    • idiopathic I42.9
  • Disease, diseased - see also Syndrome
    • myocardium, myocardial I51.5
      - see also Degeneration, myocardial
      ICD-10-CM Diagnosis Code I51.5

      Myocardial degeneration

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Fatty degeneration of heart or myocardium
      • Myocardial disease
      • Senile degeneration of heart or myocardium
      • primary I42.9 (idiopathic)
  • Myocardiopathy (congestive) (constrictive) (familial) (hypertrophic nonobstructive) (idiopathic) (infiltrative) (obstructive) (primary) (restrictive) (sporadic) I42.9 - see also Cardiomyopathy
    • secondary I42.9

ICD-10-CM Codes Adjacent To I42.9
I42 Cardiomyopathy
I42.0 Dilated cardiomyopathy
I42.1 Obstructive hypertrophic 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
I44 Atrioventricular and left bundle-branch block
I44.0 Atrioventricular block, first degree
I44.1 Atrioventricular block, second degree
I44.2 Atrioventricular block, complete
I44.3 Other and unspecified atrioventricular block
I44.30 Unspecified atrioventricular block
I44.39 Other atrioventricular block
I44.4 Left anterior fascicular block
I44.5 Left posterior fascicular block

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.