I97.0

I97.0: Postcardiotomy syndrome

Billable / specific codeICD-10-CM

I97.0 is a billable, specific ICD-10-CM code for postcardiotomy syndrome. It is valid for submission on a claim.

Check I97.0 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above I97.0

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

Written on I97: Intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classified

postprocedural shock (T81.1-)

Other codes that can never be billed with I97.0

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

I31Other diseases of pericardium

Risk adjustment

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

Medicare coverage

I97.0 is named in 13 Medicare coverage policies: 13 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)
A56476Billing and Coding: Cardiac Radionuclide Imaging
A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography

Alphabetic index entries that lead here

Postcardiotomy syndrome
Postcommissurotomy syndrome
Postvalvulotomy syndrome
Injury›postcardiac surgery(syndrome)
Syndrome›postcardiotomy
Syndrome›postcommissurotomy
Syndrome›postvalvulotomy
Complication›surgical procedure›postcardiotomy syndrome
Complication›surgical procedure›postcommissurotomy syndrome
Complication›surgical procedure›postvalvulotomy syndrome
Syndrome›Dressler's›postcardiotomy
Syndrome›postcardiac injury›postcardiotomy

Code history

Unchanged in every release from FY2024 to FY2027.