I27.9
I27.9: Pulmonary heart disease, unspecified
Billable / specific codeICD-10-CM
I27.9 is a billable, specific ICD-10-CM code for pulmonary heart disease, unspecified. It is valid for submission on a claim.
Check I27.9 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Chronic cardiopulmonary disease
Risk adjustment
I27.9 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
I27.9 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A56476Billing and Coding: Cardiac Radionuclide Imaging
- A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A56625Billing and Coding: Echocardiography
Alphabetic index entries that lead here
- Disease, diseased›cardiopulmonary, chronic
- Disease, diseased›heart›pulmonary(chronic)
- Disease, diseased›pulmonary›heart
Code history
Unchanged in every release from FY2024 to FY2027.