I40.0

I40.0: Infective myocarditis

Billable / specific codeICD-10-CM

I40.0 is a billable, specific ICD-10-CM code for infective myocarditis. It is valid for submission on a claim.

Check I40.0 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.

Septic myocarditis

Excludes1 inherited from the categories above I40.0

A category’s note binds every code beneath it.

Written on I40: Acute myocarditis

acute rheumatic myocarditis (I01.2)

Other codes that can never be billed with I40.0

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

I51.4Myocarditis, unspecified

Risk adjustment

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

Medicare coverage

I40.0 is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A52868Billing and Coding: Transesophageal Echocardiography (TEE)
A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
A56505Billing and Coding: Transesophageal Echocardiography (TEE)

Alphabetic index entries that lead here

Abscess›myocardium
Infection, infected, infective›myocardium NEC
Myocarditis›bacterial(acute)
Myocarditis›infective
Myocarditis›pneumococcal
Myocarditis›septic
Myocarditis›staphylococcal
Myocarditis›suppurative

Code history

Unchanged in every release from FY2024 to FY2027.