I42.01

I42.01: Familial-genetic dilated cardiomyopathy

Billable / specific codeICD-10-CM

I42.01 is a billable, specific ICD-10-CM code for familial-genetic dilated cardiomyopathy. It is valid for submission on a claim.

Check I42.01 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above I42.01

Not part of this code, but both may be coded when both are present.

Written on I42: Cardiomyopathy

ischemic cardiomyopathy (I25.5)
peripartum cardiomyopathy (O90.3)
ventricular hypertrophy (I51.7)

Risk adjustment

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

Medicare coverage

I42.01 is named in 39 Medicare coverage policies: 39 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52458Automatic External Defibrillators - Policy Article
A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A52868Billing and Coding: Transesophageal Echocardiography (TEE)
A56391Billing and Coding: Implantable Automatic Defibrillators

Alphabetic index entries that lead here

Cardiomyopathy›dilated›familial-genetic

Code history

addedFY2024-FY2027
Familial-genetic dilated cardiomyopathy