Is I97.12 a billable ICD-10-CM code?

No. I97.12 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does I97.12 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).

I97.12

I97.12 — Postprocedural cardiac arrest

Non-billable headerICD-10-CM

I97.12 is a non-billable header ICD-10-CM code for postprocedural cardiac arrest. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

I97.12 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.

Code to one of these instead I97.12

2 child codes. Green means billable.

I97.120Postprocedural cardiac arrest following cardiac surgery
I97.121Postprocedural cardiac arrest following other surgery

Related codes at this level

Codes that share I97.1. If I97.12 is not quite right, the correct code is usually one of these.

I97.11Postprocedural cardiac insufficiency
I97.13Postprocedural heart failure
I97.19Other postprocedural cardiac functional disturbances

Questions about I97.12

Is I97.12 a billable ICD-10-CM code?: No. I97.12 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does I97.12 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).