I97.130

I97.130: Postprocedural heart failure following cardiac surgery

Billable / specific codeICD-10-CM

I97.130 is a billable, specific ICD-10-CM code for postprocedural heart failure following cardiac surgery. It is valid for submission on a claim.

Check I97.130 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above I97.130

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.

Medicare coverage

I97.130 is named in 16 Medicare coverage policies: 16 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)
A53986Billing and Coding: Percutaneous Ventricular Assist Device
A53988Billing and Coding: Percutaneous Ventricular Assist Device

Alphabetic index entries that lead here

Failure, failed›heart›following cardiac surgery
Complication›postprocedural›heart failure›following cardiac surgery

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under I97.13

I97.131Postprocedural heart failure following other surgery