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Home/Diagnosis/ICD-10 Coding for Cardiac Murmurs and Rubs

ICD-10 Coding for Cardiac Murmurs and Rubs

R01.0
R01.1
R01.2

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

Also Known as:
Heart Murmurs
Pericardial Rubs
Innocent Murmurs
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Key Information: ICD-10 Coding for Cardiac Murmurs and Rubs

Essential facts and insights about ICD-10 Coding for Cardiac Murmurs and Rubs

Use ICD-10 code R01.0 for benign and innocent cardiac murmurs, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Benign and innocent cardiac murmurs

Billable Code
R01.0
Billable

Diagnostic Criteria

  • • Presence of terms like 'benign' or 'innocent' in documentation

Applicable To

  • • Innocent murmur
  • • Functional murmur

Important Notes

  • • Ensure documentation specifies 'benign' or 'innocent' to use R01.0.

Unspecified cardiac murmur

Billable Code
R01.1
Billable

Diagnostic Criteria

  • • Lack of specific characterization in documentation

Applicable To

  • • Murmur not otherwise specified

Important Notes

  • • Default code when murmur specifics are not documented.

Other cardiac sounds

Billable Code
R01.2
Billable

Diagnostic Criteria

  • • Documentation of specific cardiac sounds like rubs or clicks

Applicable To

  • • Pericardial rubs
  • • Clicks
  • • Snaps

Important Notes

  • • Ensure specific cardiac sounds are documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

I34.1

Nonrheumatic mitral valve disorders

Use when the murmur is linked to mitral valve pathology.

I30.1

Acute pericarditis

Use when rubs are associated with pericarditis.

Frequently Asked Questions

What is the ICD-10 code for benign cardiac murmurs?

The ICD-10 code for benign cardiac murmurs is R01.0. It requires documentation specifying the murmur as 'benign' or 'innocent'.

How do you document a cardiac murmur?

Document a cardiac murmur by including its grade, location, radiation, and quality. Ensure to specify if it is benign or requires further investigation.

Quick Navigation
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