I97.191 — Other postprocedural cardiac functional disturbances following other surgery
I97.191 is a billable, specific ICD-10-CM code for other postprocedural cardiac functional disturbances following other surgery. It is valid for submission on a claim.
Risk adjustment
I97.191 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
I97.191 is named in 28 Medicare coverage policies — 28 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 I97.191 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 I97.191.
- Complication›postprocedural›cardiac functional disturbance NEC›following other surgery
- Disturbance›heart, functional›postoperative›other surgery
- Infarct, infarction›myocardium, myocardial›postprocedural›following other surgery
Related codes at this level
Codes that share I97.19. If I97.191 is not quite right, the correct code is usually one of these.
Questions about I97.191
- Is I97.191 a billable ICD-10-CM code?
- Yes. I97.191 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I97.191 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).