I02.0 — Rheumatic chorea with heart involvement
I02.0 is a billable, specific ICD-10-CM code for rheumatic chorea with heart involvement. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Chorea NOS with heart involvement
- Rheumatic chorea with heart involvement of any type classifiable under I01.-
Other codes that can never be billed with I02.0
These codes carry an Excludes1 note pointing at I02.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I02.0 alone.
- G25.5Other chorea
Risk adjustment
I02.0 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.
Medicare coverage
I02.0 is named in 9 Medicare coverage policies — 9 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A56505Billing and Coding: Transesophageal Echocardiography (TEE)
- A56625Billing and Coding: Echocardiography
- A56625Billing and Coding: Echocardiography
How I02.0 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to I02.0.
- Chorea›minor›with heart involvement
- Chorea›rheumatic›with heart involvement
- Chorea›with›heart involvement
- Pericarditis›acute›with chorea(acute) (rheumatic) (Sydenham's)
- Pericarditis›rheumatic›with chorea(acute) (rheumatic) (Sydenham's)
- Rheumatic›myocarditis›with chorea(acute) (rheumatic) (Sydenham's)
- Rheumatic›pancarditis, acute›with chorea(acute (rheumatic) Sydenham's)
- Rheumatic›pericarditis›with chorea(acute) (rheumatic) (Sydenham's)
- Chorea›with›heart involvement›active or acute(conditions in I01-)
- Endocarditis›acute or subacute›rheumatic›with chorea(acute) (rheumatic) (Sydenham's)
- Endocarditis›mitral›active or acute›with chorea(acute) (rheumatic) (Sydenham's)
- Endocarditis›rheumatic›active or acute›with chorea(acute) (rheumatic) (Sydenham's)
Related codes at this level
Codes that share I02. If I02.0 is not quite right, the correct code is usually one of these.
Questions about I02.0
- Is I02.0 a billable ICD-10-CM code?
- Yes. I02.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I02.0 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Acute rheumatic fever (I00-I02).