MCMedicalCodingSoftware
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

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

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

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 I97.13

2 child codes. Green means billable.

Other codes under I97.1

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.