I41
I41: Myocarditis in diseases classified elsewhere
Billable / specific codeICD-10-CM
I41 is a billable, specific ICD-10-CM code for myocarditis in diseases classified elsewhere. It is valid for submission on a claim.
Check I41 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- myocarditis (in):
- Chagas' disease (chronic) (B57.2)
- acute (B57.0)
- coxsackie (virus) infection (B33.22)
- diphtheritic (A36.81)
- gonococcal (A54.83)
- influenzal (J09.X9, J10.82, J11.82)
- meningococcal (A39.52)
- mumps (B26.82)
- rheumatoid arthritis (M05.31)
- sarcoid (D86.85)
- syphilis (A52.06)
- toxoplasmosis (B58.81)
- tuberculous (A18.84)
Code first
The underlying condition must be sequenced before this code.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
I41 is named in 9 Medicare coverage policies: 9 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A56505Billing and Coding: Transesophageal Echocardiography (TEE)
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
Code history
Unchanged in every release from FY2024 to FY2027.