I51

I51: Complications and ill-defined descriptions of heart disease

Non-billable headerICD-10-CM

I51 is a non-billable header ICD-10-CM code for complications and ill-defined descriptions of heart disease. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

heart disease specified as rheumatic (I00-I09)

Other codes that can never be billed with I51

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

I09.0Rheumatic myocarditis
I23.1Atrial septal defect as current complication following acute myocardial infarction
I23.2Ventricular septal defect as current complication following acute myocardial infarction
I23.4Rupture of chordae tendineae as current complication following acute myocardial infarction
I23.5Rupture of papillary muscle as current complication following acute myocardial infarction
I23.6Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction
Q21Congenital malformations of cardiac septa

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead I51

9 child codes. Green means billable.