MCMCB Pro
I22

I22Subsequent ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction

Non-billable headerICD-10-CM

I22 is a non-billable header ICD-10-CM code for subsequent st elevation (stemi) and non-st elevation (nstemi) myocardial infarction. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • subsequent myocardial infarction, type 2 (I21.A1)
  • subsequent myocardial infarction of other type (type 3) (type 4) (type 5) (I21.A9)

Use additional code

Add a secondary code to capture the detail described below.

  • code, if applicable, to identify:
  • exposure to environmental tobacco smoke (Z77.22)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility (Z92.82)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Includes

Conditions this code covers.

  • acute myocardial infarction occurring within four weeks (28 days) of a previous acute myocardial infarction, regardless of site
  • cardiac infarction
  • coronary (artery) embolism
  • coronary (artery) occlusion
  • coronary (artery) rupture
  • coronary (artery) thrombosis
  • infarction of heart, myocardium, or ventricle
  • recurrent myocardial infarction
  • reinfarction of myocardium
  • rupture of heart, myocardium, or ventricle
  • subsequent type 1 myocardial infarction

Other codes that can never be billed with I22

These codes carry an Excludes1 note pointing at I22. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I22 alone.

  • I25.82Chronic total occlusion of coronary artery

Risk adjustment

I22 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 I22

5 child codes. Green means billable.

Questions about I22

Is I22 a billable ICD-10-CM code?
No. I22 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does I22 sit in the tabular list?
Diseases of the circulatory system (I00-I99), in the block Ischemic heart diseases (I20-I25).
What cannot be coded together with I22?
I22 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.