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Home/Diagnosis/ICD-10 Coding for Hypertrophic Obstructive Cardiomyopathy

ICD-10 Coding for Hypertrophic Obstructive Cardiomyopathy

I42.1

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

Also Known as:
HOCM
Obstructive Hypertrophic Cardiomyopathy
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Key Information: ICD-10 Coding for Hypertrophic Obstructive Cardiomyopathy

Essential facts and insights about ICD-10 Coding for Hypertrophic Obstructive Cardiomyopathy

Use ICD-10 code I42.1 for obstructive hypertrophic cardiomyopathy, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Obstructive hypertrophic cardiomyopathy

Billable Code
I42.1
Billable

Diagnostic Criteria

clinical_criteria:
  • • Presence of LVOT gradient ≥30 mmHg
documentation_criteria:
  • • Documentation must include 'obstructive' and echo findings

Applicable To

  • • Hypertrophic obstructive cardiomyopathy
  • • HOCM

Important Notes

  • • Ensure documentation specifies 'obstructive' to avoid denials.
Ancillary Codes

Additional codes that may be used with this diagnosis

I50.9

Heart failure, unspecified

Use when heart failure is present alongside HOCM.

Frequently Asked Questions

What is the ICD-10 code for hypertrophic obstructive cardiomyopathy?

The ICD-10 code for hypertrophic obstructive cardiomyopathy is I42.1, used when there is documented left ventricular outflow tract obstruction.

How do you document hypertrophic obstructive cardiomyopathy?

Documentation must include 'obstructive' and echocardiogram findings showing LVOT gradient ≥30 mmHg and systolic anterior motion of the mitral valve.

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