I09.0
I09.0: Rheumatic myocarditis
Billable / specific codeICD-10-CM
I09.0 is a billable, specific ICD-10-CM code for rheumatic myocarditis. It is valid for submission on a claim.
Check I09.0 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- myocarditis not specified as rheumatic (I51.4)
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
I09.0 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)
- A56476Billing and Coding: Cardiac Radionuclide Imaging
- A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
Alphabetic index entries that lead here
- Cardiomyopathy›rheumatic
- Myocarditis›rheumatic(chronic) (inactive) (with chorea)
- Rheumatic›degeneration, myocardium
- Rheumatic›myocarditis(chronic) (inactive) (with chorea)
- Degeneration, degenerative›myocardial, myocardium›with rheumatic fever(conditions in I00)
- Insufficiency, insufficient›myocardial, myocardium›rheumatic
- Myocarditis›with›rheumatic fever(conditions in I00)
- Degeneration, degenerative›myocardial, myocardium›with rheumatic fever›inactive or quiescent(with chorea)
- Fever›rheumatic›inactive or quiescent with›myocarditis, myocardial degeneration(conditions in I51.4)
- Insufficiency, insufficient›myocardial, myocardium›with›rheumatic fever(conditions in I00)
- Myocarditis›with›rheumatic fever›inactive or quiescent(with chorea)
- Insufficiency, insufficient›myocardial, myocardium›with›rheumatic fever›inactive or quiescent(with chorea)
Code history
Unchanged in every release from FY2024 to FY2027.