I01.1
I01.1: Acute rheumatic endocarditis
Billable / specific codeICD-10-CM
I01.1 is a billable, specific ICD-10-CM code for acute rheumatic endocarditis. It is valid for submission on a claim.
Check I01.1 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Any condition in I00 with endocarditis or valvulitis
- Acute rheumatic valvulitis
Excludes1 inherited from the categories above I01.1
A category’s note binds every code beneath it.
Other codes that can never be billed with I01.1
Their own Excludes1 notes name this code, so the conflict is not listed above.
- I33Acute and subacute endocarditis
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
I01.1 is named in 13 Medicare coverage policies: 13 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A56505Billing and Coding: Transesophageal Echocardiography (TEE)
Alphabetic index entries that lead here
- Endocarditis›acute or subacute›rheumatic(aortic) (mitral) (pulmonary) (tricuspid)
- Endocarditis›mitral›active or acute
- Endocarditis›rheumatic›active or acute(aortic) (mitral) (pulmonary) (tricuspid)
- Endocarditis›tricuspid›active or acute
- Stenosis, stenotic›mitral›active or acute
- Endocarditis›aortic›rheumatic›active or acute
- Endocarditis›pulmonary›acute or subacute›rheumatic
- Endocarditis›pulmonary›rheumatic›active or acute
- Insufficiency, insufficient›mitral›rheumatic›active or acute
- Endocarditis›aortic›rheumatic›with mitral disease›active or acute
- Endocarditis›aortic›with›mitral disease›active or acute
- Endocarditis›mitral›with›aortic disease›active or acute
Code history
Unchanged in every release from FY2024 to FY2027.