2020 ICD-10-CM Diagnosis Code I97.13

Postprocedural heart failure

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • I97.13 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM I97.13 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of I97.13 - other international versions of ICD-10 I97.13 may differ.
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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.
  • code to identify the heart failure (
    ICD-10-CM Diagnosis Code I50
    • I50 Heart failure
      • I50.1 Left ventricular failure, unspecified
      • I50.2 Systolic (congestive) heart failure
        • I50.20 Unspecified systolic (congestive) heart failu...
        • I50.21 Acute systolic (congestive) heart failure
        • I50.22 Chronic systolic (congestive) heart failure
        • I50.23 Acute on chronic systolic (congestive) heart ...
      • I50.3 Diastolic (congestive) heart failure
        • I50.30 Unspecified diastolic (congestive) heart fail...
        • I50.31 Acute diastolic (congestive) heart failure
        • I50.32 Chronic diastolic (congestive) heart failure
        • I50.33 Acute on chronic diastolic (congestive) heart...
      • I50.4 Combined systolic (congestive) and diastolic ...
        • I50.40 Unspecified combined systolic (congestive) an...
        • I50.41 Acute combined systolic (congestive) and dias...
        • I50.42 Chronic combined systolic (congestive) and di...
        • I50.43 Acute on chronic combined systolic (congestiv...
      • I50.8 Other heart failure
        • I50.81 Right heart failure
          • I50.810 …… unspecified
          • I50.811 Acute right heart failure
          • I50.812 Chronic right heart failure
          • I50.813 Acute on chronic right heart failure
          • I50.814 Right heart failure due to left heart failure...
        • I50.82 Biventricular heart failure
        • I50.83 High output heart failure
        • I50.84 End stage heart failure
        • I50.89 Other heart failure
      • I50.9 Heart failure, unspecified
    I50.-
    )
The following code(s) above I97.13 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 I97.13:
  • 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
  • I97
    ICD-10-CM Diagnosis Code I97

    Intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    Intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classified
  • I97.1
    ICD-10-CM Diagnosis Code I97.1

    Other postprocedural cardiac functional disturbances

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • acute pulmonary insufficiency following thoracic surgery (J95.1)
    • intraoperative cardiac functional disturbances (I97.7-)
    Other postprocedural cardiac functional disturbances
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
Code annotations containing back-references to I97.13:
  • Code First: I50
    ICD-10-CM Diagnosis Code I50

    Heart failure

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code First
    • heart failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)
    • heart failure due to hypertension (I11.0)
    • heart failure due to hypertension with chronic kidney disease (I13.-)
    • heart failure following surgery (I97.13-)
    • obstetric surgery and procedures (O75.4)
    • rheumatic heart failure (I09.81)
    Type 1 Excludes
    • neonatal cardiac failure (P29.0)
    Type 2 Excludes

Diagnosis Index entries containing back-references to I97.13:
  • Failure, failed
    • heart (acute) (senile) (sudden) I50.9
      ICD-10-CM Diagnosis Code I50.9

      Heart failure, unspecified

        2016 2017 2018 2019 2020 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)
      • due to presence of cardiac prosthesis I97.13-
      • following cardiac surgery I97.13-
      • postprocedural I97.13-

ICD-10-CM Codes Adjacent To I97.13
I96 Gangrene, not elsewhere classified
I97 Intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classified
I97.0 Postcardiotomy syndrome
I97.1 Other postprocedural cardiac functional disturbances
I97.11 Postprocedural cardiac insufficiency
I97.110 …… following cardiac surgery
I97.111 …… following other surgery
I97.12 Postprocedural cardiac arrest
I97.120 …… following cardiac surgery
I97.121 …… following other surgery
I97.13 Postprocedural heart failure
I97.130 …… following cardiac surgery
I97.131 …… following other surgery
I97.19 Other postprocedural cardiac functional disturbances
I97.190 …… following cardiac surgery
I97.191 …… following other surgery
I97.2 Postmastectomy lymphedema syndrome
I97.3 Postprocedural hypertension
I97.4 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a procedure
I97.41 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a circulatory system procedure
I97.410 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac catheterization

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