I22 — Subsequent ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction
I22 is a non-billable header ICD-10-CM code for subsequent st elevation (stemi) and non-st elevation (nstemi) myocardial infarction. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Use additional code
Add a secondary code to capture the detail described below.
- code, if applicable, to identify:
- exposure to environmental tobacco smoke (Z77.22)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility (Z92.82)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
Includes
Conditions this code covers.
- acute myocardial infarction occurring within four weeks (28 days) of a previous acute myocardial infarction, regardless of site
- cardiac infarction
- coronary (artery) embolism
- coronary (artery) occlusion
- coronary (artery) rupture
- coronary (artery) thrombosis
- infarction of heart, myocardium, or ventricle
- recurrent myocardial infarction
- reinfarction of myocardium
- rupture of heart, myocardium, or ventricle
- subsequent type 1 myocardial infarction
Other codes that can never be billed with I22
These codes carry an Excludes1 note pointing at I22. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I22 alone.
- I25.82Chronic total occlusion of coronary artery
Risk adjustment
I22 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.
Code to one of these instead I22
5 child codes. Green means billable.
- I22.0Subsequent ST elevation (STEMI) myocardial infarction of anterior wall
- I22.1Subsequent ST elevation (STEMI) myocardial infarction of inferior wall
- I22.2Subsequent non-ST elevation (NSTEMI) myocardial infarction
- I22.8Subsequent ST elevation (STEMI) myocardial infarction of other sites
- I22.9Subsequent ST elevation (STEMI) myocardial infarction of unspecified site
Questions about I22
- Is I22 a billable ICD-10-CM code?
- No. I22 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does I22 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Ischemic heart diseases (I20-I25).
- What cannot be coded together with I22?
- I22 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.