I01

I01: Rheumatic fever with heart involvement

Non-billable headerICD-10-CM

I01 is a non-billable header ICD-10-CM code for rheumatic fever with heart involvement. 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.

chronic diseases of rheumatic origin (I05-I09) unless rheumatic fever is also present or there is evidence of reactivation or activity of the rheumatic process.

Other codes that can never be billed with I01

Their own Excludes1 notes name this code, so the conflict is not listed above.

I00Rheumatic fever without heart involvement
I30Acute pericarditis
I33Acute and subacute endocarditis
I40Acute myocarditis

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

Fever›rheumatic›active with heart involvement

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead I01

5 child codes. Green means billable.