I31.2

I31.2: Hemopericardium, not elsewhere classified

Billable / specific codeICD-10-CM

I31.2 is a billable, specific ICD-10-CM code for hemopericardium, not elsewhere classified. It is valid for submission on a claim.

Check I31.2 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

hemopericardium as current complication following acute myocardial infarction (I23.0)
malignant pericardial effusion (I31.31)

Excludes1 inherited from the categories above I31.2

A category’s note binds every code beneath it.

Written on I31: Other diseases of pericardium

diseases of pericardium specified as rheumatic (I09.2)
postcardiotomy syndrome (I97.0)
traumatic injury to pericardium (S26.-)

Other codes that can never be billed with I31.2

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

I09.2Chronic rheumatic pericarditis
I23.0Hemopericardium as current complication following acute myocardial infarction

Risk adjustment

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

Medicare coverage

I31.2 is named in 13 Medicare coverage policies: 13 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A56451Billing and Coding: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)
A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
A56505Billing and Coding: Transesophageal Echocardiography (TEE)