I09
I09 — Other rheumatic heart diseases
Non-billable headerICD-10-CM
I09 is a non-billable header ICD-10-CM code for other rheumatic heart diseases. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with I09
These codes carry an Excludes1 note pointing at I09. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I09 alone.
Risk adjustment
I09 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead I09
5 child codes. Green means billable.
Questions about I09
- Is I09 a billable ICD-10-CM code?
- No. I09 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does I09 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Chronic rheumatic heart diseases (I05-I09).