I42.09

I42.09: Other dilated cardiomyopathy

Billable / specific codeICD-10-CM

I42.09 is a billable, specific ICD-10-CM code for other dilated cardiomyopathy. It is valid for submission on a claim.

Check I42.09 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Other nonfamilial dilated cardiomyopathy

Excludes2 inherited from the categories above I42.09

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

I42.09 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›specified NEC(nonfamilial)

Code history

addedFY2024-FY2027
Other dilated cardiomyopathy