I23.2

I23.2: Ventricular septal defect as current complication following acute myocardial infarction

Billable / specific codeICD-10-CM

I23.2 is a billable, specific ICD-10-CM code for ventricular septal defect as current complication following acute myocardial infarction. It is valid for submission on a claim.

Check I23.2 with the rest of the claim: free scrubber

Excludes1: never code together

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

acquired ventricular septal defect not specified as current complication following acute myocardial infarction (I51.0)

Other codes that can never be billed with I23.2

Their own Excludes1 notes name this code, so the conflict is not listed above.

I51.0Cardiac septal defect, acquired

Risk adjustment

I23.2 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 229 Unstable Angina and Other Acute Ischemic Heart Disease0.240 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

I23.2 is named in 12 Medicare coverage policies: 12 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

Defect, defective›ventricular septal›following acute myocardial infarction(current complication)
Complication›following›acute myocardial infarction NEC›ventricular›septal defect
Complication›following›acute myocardial infarction NEC›defect›septal›ventricular(heart)

Code history

Unchanged in every release from FY2024 to FY2027.