ICD-10-CM Code I42
Non-Billable CodeNon-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.
ICD Code I42 is a non-billable code. To code a diagnosis of this type, you must use one of the ten child codes of I42 that describes the diagnosis 'cardiomyopathy' in more detail.
- I42 Cardiomyopathy NON-BILLABLE
The ICD code I42 is used to code Cardiomyopathy
Cardiomyopathy (literally "heart muscle disease") is the measurable deterioration for any reason of the ability of the myocardium (the heart muscle) to contract, usually leading to heart failure. Common symptoms include dyspnea (breathlessness) and peripheral edema (swelling of the legs). Those with cardiomyopathy are often at risk of dangerous forms of irregular heart rate and sudden cardiac death. The most common form of cardiomyopathy is dilated cardiomyopathy. Although the term "cardiomyopathy" could theoretically apply to almost any disease affecting the heart, it is usually reserved for "severe myocardial disease leading to heart failure." Cardiomyopathy and myocarditis resulted in 443,000 deaths in 2013, up from 294,000 in 1990.
|ICD 9 Code:||425|
Opened left ventricle of heart shows a thickened, dilated left ventricle with subendocardial fibrosis manifested as increased whiteness of endocardium.
Coding Notes for I42 Info for medical coders on how to properly use this ICD-10 code
Code Includes Notes:
IncludesIncludes notes further define, or give examples of, conditions included in the section.
- Pre-existing cardiomyopathy complicating pregnancy and puerperium See code O99.4
Code Type-1 Excludes:
Type-1 ExcludesType-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
- Ischemic cardiomyopathy - instead, use code I25.5
- Peripartum cardiomyopathy - instead, use code O90.3
Code Type-2 Excludes:
Type-2 ExcludesType-2 Excludes means the excluded conditions are different, although they may appear similar. A patient may have both conditions, but one does not include the other. Excludes 2 means "not coded here."
- Ventricular hypertrophy - instead, use code I51.7
ICD-10-CM Alphabetical Index References for 'I42 - Cardiomyopathy'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code I42. Click on any term below to browse the alphabetical index.