I00
I00: Rheumatic fever without heart involvement
Billable / specific codeICD-10-CM
I00 is a billable, specific ICD-10-CM code for rheumatic fever without heart involvement. It is valid for submission on a claim.
Check I00 with the rest of the claim: free scrubberOther codes that can never be billed with I00
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
I00 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57326Billing and Coding: Electrocardiograms
Alphabetic index entries that lead here
- Fever›rheumatic(active) (acute) (chronic) (subacute)
- Pneumonia›rheumatic
- Rheumatic›pneumonia
- Erythema, erythematous›marginatum›in acute rheumatic fever(due to)
- Pneumonia›in›rheumatic fever
Code history
Unchanged in every release from FY2024 to FY2027.