I01.8

I01.8: Other acute rheumatic heart disease

Billable / specific codeICD-10-CM

I01.8 is a billable, specific ICD-10-CM code for other acute rheumatic heart disease. It is valid for submission on a claim.

Check I01.8 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Any condition in I00 with other or multiple types of heart involvement
Acute rheumatic pancarditis

Excludes1 inherited from the categories above I01.8

A category’s note binds every code beneath it.

Written on I01: Rheumatic fever with heart involvement

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.

Risk adjustment

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

Medicare coverage

I01.8 is named in 9 Medicare coverage policies: 9 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A56505Billing and Coding: Transesophageal Echocardiography (TEE)
A56625Billing and Coding: Echocardiography
A56781Billing and Coding: Transthoracic Echocardiography (TTE)

Alphabetic index entries that lead here

Rheumatic›coronary arteritis
Rheumatic›pancarditis, acute
Arteritis›coronary›rheumatic
Pancarditis›rheumatic›active or acute
Hypertrophy, hypertrophic›cardiac›rheumatic›active or acute
Hypertrophy, hypertrophic›cardiac›with rheumatic fever›active
Failure, failed›heart›congestive›rheumatic›active or acute
Failure, failed›heart›congestive›with rheumatic fever›active
Failure, failed›ventricular›left›rheumatic›active or acute
Failure, failed›ventricular›left›with rheumatic fever›active
Disease, diseased›heart›with›rheumatic fever›active›specified NEC

Code history

Unchanged in every release from FY2024 to FY2027.