I30.1

I30.1: Infective pericarditis

Billable / specific codeICD-10-CM

I30.1 is a billable, specific ICD-10-CM code for infective pericarditis. It is valid for submission on a claim.

Check I30.1 with the rest of the claim: free scrubber

Use additional code

Add a secondary code to capture the detail described below.

code (B95-B97) to identify infectious agent

Inclusion terms

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

Pneumococcal pericarditis
Pneumopyopericardium
Purulent pericarditis
Pyopericarditis
Pyopericardium
Pyopneumopericardium
Staphylococcal pericarditis
Streptococcal pericarditis
Suppurative pericarditis
Viral pericarditis

Excludes1 inherited from the categories above I30.1

A category’s note binds every code beneath it.

Written on I30: Acute pericarditis

Dressler's syndrome (I24.1)
rheumatic pericarditis (acute) (I01.0)
viral pericarditis due to Coxsackie virus (B33.23)

Other codes that can never be billed with I30.1

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

I01.0Acute rheumatic pericarditis

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

I30.1 is named in 16 Medicare coverage policies: 16 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A55354Billing and Coding: Frequency of Hemodialysis
A55672Billing and Coding: Frequency of Hemodialysis
A55675Billing and Coding: Frequency of Hemodialysis

Alphabetic index entries that lead here

Pneumopyopericardium
Pyopericarditis, pyopericardium
Pyopneumopericardium
Abscess›pericardial
Pericarditis›bacterial(acute) (subacute) (with serous or seropurulent effusion)
Pericarditis›fibrinopurulent
Pericarditis›infective
Pericarditis›pneumococcal
Pericarditis›purulent
Pericarditis›septic
Pericarditis›staphylococcal
Pericarditis›streptococcal

Code history

Unchanged in every release from FY2024 to FY2027.