I23.3 — Rupture of cardiac wall without hemopericardium as current complication following acute myocardial infarction
I23.3 is a billable, specific ICD-10-CM code for rupture of cardiac wall without hemopericardium as current complication following acute myocardial infarction. It is valid for submission on a claim.
Risk adjustment
I23.3 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.
Medicare coverage
I23.3 is named in 17 Medicare coverage policies — 17 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
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A56476Billing and Coding: Cardiac Radionuclide Imaging
How I23.3 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 I23.3.
- Rupture, ruptured›cardiac(auricle) (ventricle) (wall)
- Complication›following›acute myocardial infarction NEC›aneurysm(false) (of cardiac wall) (of heart wall) (ruptured)
- Complication›following›acute myocardial infarction NEC›cardiac wall rupture
- Complication›following›acute myocardial infarction NEC›rupture›cardiac wall
Related codes at this level
Codes that share I23. If I23.3 is not quite right, the correct code is usually one of these.
- I23.0Hemopericardium as current complication following acute myocardial infarction
- I23.1Atrial septal defect as current complication following acute myocardial infarction
- I23.2Ventricular septal defect as current complication following acute myocardial infarction
- I23.4Rupture of chordae tendineae as current complication following acute myocardial infarction
- I23.5Rupture of papillary muscle as current complication following acute myocardial infarction
- I23.6Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction
- I23.7Postinfarction angina
- I23.8Other current complications following acute myocardial infarction
Questions about I23.3
- Is I23.3 a billable ICD-10-CM code?
- Yes. I23.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I23.3 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Ischemic heart diseases (I20-I25).