I97.0 — Postcardiotomy syndrome
I97.0 is a billable, specific ICD-10-CM code for postcardiotomy syndrome. It is valid for submission on a claim.
Other codes that can never be billed with I97.0
These codes carry an Excludes1 note pointing at I97.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I97.0 alone.
- I31Other diseases of pericardium
Risk adjustment
I97.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
I97.0 is named in 26 Medicare coverage policies — 26 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
How I97.0 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to I97.0.
- 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
Related codes at this level
Codes that share I97. If I97.0 is not quite right, the correct code is usually one of these.
- I97.1Other postprocedural cardiac functional disturbances
- I97.2Postmastectomy lymphedema syndrome
- I97.3Postprocedural hypertension
- I97.4Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a procedure
- I97.5Accidental puncture and laceration of a circulatory system organ or structure during a procedure
- I97.6Postprocedural hemorrhage, hematoma and seroma of a circulatory system organ or structure following a procedure
- I97.7Intraoperative cardiac functional disturbances
- I97.8Other intraoperative and postprocedural complications and disorders of the circulatory system, not elsewhere classified
Questions about I97.0
- Is I97.0 a billable ICD-10-CM code?
- Yes. I97.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I97.0 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Other and unspecified disorders of the circulatory system (I95-I99).