Is I97.13 a billable ICD-10-CM code?

No. I97.13 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does I97.13 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).

I97.13

I97.13 — Postprocedural heart failure

Non-billable headerICD-10-CM

I97.13 is a non-billable header ICD-10-CM code for postprocedural heart failure. It cannot be billed on its own: choose one of the more specific child codes below.

Use additional code

Add a secondary code to capture the detail described below.

code to identify the heart failure (I50.-)

Excludes2 inherited from the categories above I97.13

Also inherited, and the opposite of Excludes1: these conditions are not part of I97.13, but a patient can have both, so you may code both.

Written on I97.1 — Other postprocedural cardiac functional disturbances

acute pulmonary insufficiency following thoracic surgery (J95.1)
intraoperative cardiac functional disturbances (I97.7-)

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

postprocedural shock (T81.1-)

Risk adjustment

I97.13 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 history

I97.13 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead I97.13

2 child codes. Green means billable.

Related codes at this level

Codes that share I97.1. If I97.13 is not quite right, the correct code is usually one of these.

Questions about I97.13

Is I97.13 a billable ICD-10-CM code?: No. I97.13 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does I97.13 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).