I40
I40 — Acute myocarditis
Non-billable headerICD-10-CM
I40 is a non-billable header ICD-10-CM code for acute myocarditis. 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 rheumatic myocarditis (I01.2)
Includes
Conditions this code covers.
- subacute myocarditis
Other codes that can never be billed with I40
These codes carry an Excludes1 note pointing at I40. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I40 alone.
- I51.4Myocarditis, unspecified
Risk adjustment
I40 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead I40
4 child codes. Green means billable.
Questions about I40
- Is I40 a billable ICD-10-CM code?
- No. I40 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does I40 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Other forms of heart disease (I30-I5A).
- What cannot be coded together with I40?
- I40 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.