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Home/Diagnosis/ICD-10 Coding for Cardiomyopathy

ICD-10 Coding for Cardiomyopathy

I42.0
I42.1

Complete ICD-10-CM coding and documentation guide for icd-10 coding for cardiomyopathy includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Heart Muscle Disease
Myocardial Disease
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Key Information: ICD-10 Coding for Cardiomyopathy

Essential facts and insights about ICD-10 Coding for Cardiomyopathy

Use ICD-10 code I42.0 for dilated cardiomyopathy, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Dilated Cardiomyopathy

Billable Code
I42.0
Billable

Diagnostic Criteria

  • • Echocardiogram showing ventricular dilation and reduced ejection fraction.

Applicable To

  • • Congestive cardiomyopathy

Important Notes

  • • Ensure documentation specifies 'dilated' to avoid unspecified coding.

Obstructive Hypertrophic Cardiomyopathy

Billable Code
I42.1
Billable

Diagnostic Criteria

  • • Echocardiogram shows obstructive hypertrophic changes with significant gradient.

Applicable To

  • • Hypertrophic subaortic stenosis

Important Notes

  • • Document the presence of a subaortic gradient to differentiate from non-obstructive types.
Ancillary Codes

Additional codes that may be used with this diagnosis

I50.-

Heart Failure

Use to specify heart failure type if present with cardiomyopathy.

I11.-

Hypertensive Heart Disease

Use if hypertensive heart disease is present.

Frequently Asked Questions

What is the ICD-10 code for dilated cardiomyopathy?

The ICD-10 code for dilated cardiomyopathy is I42.0, which is used when echocardiogram confirms ventricular dilation and reduced ejection fraction.

How do you code hypertrophic cardiomyopathy?

Hypertrophic cardiomyopathy is coded as I42.1 if obstructive, with a subaortic gradient ≥30 mmHg, and I42.2 if non-obstructive.

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