I51
I51 — Complications and ill-defined descriptions of heart disease
Non-billable headerICD-10-CM
I51 is a non-billable header ICD-10-CM code for complications and ill-defined descriptions of heart disease. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with I51
These codes carry an Excludes1 note pointing at I51. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I51 alone.
- Q21Congenital malformations of cardiac septa
- I09.0Rheumatic myocarditis
- I23.1Atrial septal defect as current complication following acute myocardial infarction
- I23.2Ventricular septal defect as current complication following acute myocardial infarction
- I23.4Rupture of chordae tendineae as current complication following acute myocardial infarction
- I23.5Rupture of papillary muscle as current complication following acute myocardial infarction
- I23.6Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction
Risk adjustment
I51 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 I51
9 child codes. Green means billable.
- I51.0Cardiac septal defect, acquired
- I51.1Rupture of chordae tendineae, not elsewhere classified
- I51.2Rupture of papillary muscle, not elsewhere classified
- I51.3Intracardiac thrombosis, not elsewhere classified
- I51.4Myocarditis, unspecified
- I51.5Myocardial degeneration
- I51.7Cardiomegaly
- I51.8Other ill-defined heart diseases
- I51.9Heart disease, unspecified
Questions about I51
- Is I51 a billable ICD-10-CM code?
- No. I51 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does I51 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Other forms of heart disease (I30-I5A).