I27.81: Cor pulmonale (chronic)
I27.81 is a billable, specific ICD-10-CM code for cor pulmonale (chronic). It is valid for submission on a claim.
Check I27.81 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- acute cor pulmonale (I26.0-)
Code also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- , if applicable, right heart failure (I50.81-)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Cor pulmonale NOS
Other codes that can never be billed with I27.81
Their own Excludes1 notes name this code, so the conflict is not listed above.
- I26Pulmonary embolism
Risk adjustment
I27.81 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 226 Heart Failure, Except End Stage and Acute0.360 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
I27.81 is named in 18 Medicare coverage policies: 18 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
- A56476Billing and Coding: Cardiac Radionuclide Imaging
- A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
Alphabetic index entries that lead here
- Cor›pulmonale
- Pancake heart›with cor pulmonale(chronic)
- Cor›pulmonale›chronic
- Cor›pulmonale›acute›without pulmonary embolism
Code history
Unchanged in every release from FY2024 to FY2027.