Is I97.190 a billable ICD-10-CM code?

Yes. I97.190 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does I97.190 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).

I97.190

I97.190 — Other postprocedural cardiac functional disturbances following cardiac surgery

Billable / specific codeICD-10-CM

I97.190 is a billable, specific ICD-10-CM code for other postprocedural cardiac functional disturbances following cardiac surgery. It is valid for submission on a claim.

Use additional code

Add a secondary code to capture the detail described below.

code, if applicable, for type 4 or type 5 myocardial infarction, to further specify disorder

Risk adjustment

I97.190 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

I97.190 is named in 30 Medicare coverage policies — 30 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 I97.190 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 I97.190.

Complication›circulatory system›postprocedural›following cardiac surgery
Complication›postprocedural›cardiac functional disturbance NEC›following cardiac surgery
Disturbance›heart, functional›postoperative›cardiac surgery
Infarct, infarction›myocardium, myocardial›postprocedural›following cardiac surgery

Related codes at this level

Codes that share I97.19. If I97.190 is not quite right, the correct code is usually one of these.

I97.191Other postprocedural cardiac functional disturbances following other surgery

Questions about I97.190

Is I97.190 a billable ICD-10-CM code?: Yes. I97.190 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does I97.190 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).