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I24.81

I24.81: Acute coronary microvascular dysfunction

Billable / specific codeICD-10-CM

I24.81 is a billable, specific ICD-10-CM code for acute coronary microvascular dysfunction. It is valid for submission on a claim.

Check I24.81 with the rest of the claim: free scrubber

Inclusion terms

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

  • Acute (presentation of) coronary microvascular disease

Excludes1 inherited from the categories above I24.81

A category’s note binds every code beneath it.

Written on I24.8: Other forms of acute ischemic heart disease

  • myocardial infarction due to demand ischemia (I21.A1)

Written on I24: Other acute ischemic heart diseases

  • angina pectoris (I20.-)
  • transient myocardial ischemia in newborn (P29.4)

Excludes2 inherited from the categories above I24.81

Not part of this code, but both may be coded when both are present.

Written on I24: Other acute ischemic heart diseases

  • non-ischemic myocardial injury (I5A)

Risk adjustment

I24.81 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

I24.81 is named in 29 Medicare coverage policies: 29 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
  • A53775Billing and Coding: Frequency and Duration for Cardiac Rehabilitation and Intensive Cardiac Rehabilitation
  • A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
  • A56494Billing and Coding: Cardiovascular Nuclear Medicine

Alphabetic index entries that lead here

  • Dysfunction›coronary microvascular›acute
  • Disease, diseased›coronary›microvascular›acute

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under I24.8

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.