I31.3

I31.3: Pericardial effusion (noninflammatory)

Non-billable headerICD-10-CM

I31.3 is a non-billable header ICD-10-CM code for pericardial effusion (noninflammatory). It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

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

acute pericardial effusion (I30.9)

Excludes1 inherited from the categories above I31.3

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 I31.3

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

I09.2Chronic rheumatic pericarditis
I31.2Hemopericardium, not elsewhere classified

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead I31.3

2 child codes. Green means billable.