Is I09.2 a billable ICD-10-CM code?

Yes. I09.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does I09.2 sit in the tabular list?

Diseases of the circulatory system (I00-I99), in the block Chronic rheumatic heart diseases (I05-I09).

What cannot be coded together with I09.2?

I09.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

I09.2

I09.2 — Chronic rheumatic pericarditis

Billable / specific codeICD-10-CM

I09.2 is a billable, specific ICD-10-CM code for chronic rheumatic pericarditis. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

chronic pericarditis not specified as rheumatic (I31.-)

Inclusion terms

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

Adherent pericardium, rheumatic
Chronic rheumatic mediastinopericarditis
Chronic rheumatic myopericarditis

Other codes that can never be billed with I09.2

These codes carry an Excludes1 note pointing at I09.2. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I09.2 alone.

I31Other diseases of pericardium

Risk adjustment

I09.2 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

I09.2 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.

A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56625Billing and Coding: Echocardiography

How I09.2 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 I09.2.

Concretio cordis›rheumatic
Myopericarditis›chronic rheumatic
Rheumatic›adherent pericardium
Adherent›pericardium›rheumatic
Adhesions, adhesive›cardiac›rheumatic
Adhesions, adhesive›heart›rheumatic
Adhesions, adhesive›pericardium›rheumatic
Mediastinopericarditis›chronic›rheumatic
Pericarditis›adhesive or adherent›rheumatic
Pericarditis›chronic›rheumatic
Pericarditis›rheumatic›chronic or inactive(with chorea)
Pericarditis›with rheumatic fever›inactive or quiescent

Related codes at this level

Codes that share I09. If I09.2 is not quite right, the correct code is usually one of these.

Questions about I09.2

Is I09.2 a billable ICD-10-CM code?: Yes. I09.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does I09.2 sit in the tabular list?: Diseases of the circulatory system (I00-I99), in the block Chronic rheumatic heart diseases (I05-I09).
What cannot be coded together with I09.2?: I09.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.