Version 2024

2024 ICD-10-CM Diagnosis Code I97.191

Code Classification

Diseases of the circulatory system
(I00–I99)
- Other and unspecified disorders of the circulatory system
  (I95-I99)
  - Intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classified
    (I97)

I97.191 is a billable diagnosis code used to specify a medical diagnosis of other postprocedural cardiac functional disturbances following other surgery. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Acquired complete atrioventricular block
Complete atrioventricular block
Finding related to awareness of heart beat
Fluttering heart
His bundle tachycardia
His bundle tachycardia
Junctional ectopic tachycardia
Palpitations
Postoperative acute myocardial infarction
Postoperative atrioventricular block
Postoperative atrioventricular block
Postoperative cardiac arrhythmia
Postoperative cardiac arrhythmia
Postoperative cardiac arrhythmia
Postoperative cardiac arrhythmia
Postoperative cardiac arrhythmia
Postoperative complete heart block
Postoperative fluttering heart
Postoperative His bundle tachycardia
Postoperative junctional ectopic tachycardia
Postoperative myocardial infarction
Postoperative myocardial infarction
Postoperative myocardial infarction
Postoperative sinus node dysfunction
Postoperative transmural myocardial infarction of anterior wall
Postoperative transmural myocardial infarction of inferior wall
Recurrent interatrial communication after prior cardiovascular surgical procedure

Clinical Classification

Clinical Category is Postprocedural or postoperative circulatory system complication
CCSR Category Code: CIR038
Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

Congenital Bundle of His Tachycardia|Congenital His Bundle Tachycardia|Junctional Ectopic Tachycardia, Congenital
a congenital disorder characterized by an electrocardiographic finding of tachycardia that affects neonates and infants. it results from an increased automaticity in the atrioventricular node and his bundle.
Junctional Ectopic Tachycardia
a tachycardia originating in or adjacent to the av junction.

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

- Complication (s) (from) (of)
- - postprocedural - See Also: Complications, surgical procedure;
  - - cardiac functional disturbance NEC - See Also: Infarct, myocardium, associated with revascularization procedure;
    - - following other surgery - I97.191

- Infarct, infarction
- - myocardium, myocardial (acute) (with stated duration of 4 weeks or less) - I21.9
  - - postprocedural - See Also: Infarct, myocardium, associated with revascularization procedure;
    - - following other surgery - I97.191

I97.191 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
314	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC	05	2.0935
315	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC	05	0.9673
316	OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC	05	0.6927

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert I97.191 to ICD-9-CM

ICD-9-CM Code: 429.4 - Hrt dis postcardiac surg
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
ICD-9-CM Code: 997.1 - Surg compl-heart
Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.
ICD-9-CM Code: 429.4 - Hrt dis postcardiac surg
Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.

Other ICD-10-CM Codes Commonly Used for Similar Conditions

Filter related codes list:

I97 Intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classified.
I97.0 Postcardiotomy syndrome.
I97.1 Other postprocedural cardiac functional disturbances.
I97.11 Postprocedural cardiac insufficiency.
I97.110 Postprocedural cardiac insufficiency following cardiac surgery.
I97.111 Postprocedural cardiac insufficiency following other surgery.
I97.12 Postprocedural cardiac arrest.
I97.120 Postprocedural cardiac arrest following cardiac surgery.
I97.121 Postprocedural cardiac arrest following other surgery.
I97.13 Postprocedural heart failure.
I97.130 Postprocedural heart failure following cardiac surgery.
I97.131 Postprocedural heart failure following other surgery.
I97.19 Other postprocedural cardiac functional disturbances.
I97.190 Other postprocedural cardiac functional disturbances following cardiac surgery.
I97.2 Postmastectomy lymphedema syndrome.
I97.3 Postprocedural hypertension.
I97.4 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a procedure.
I97.41 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a circulatory system procedure.
I97.410 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac catheterization.
I97.411 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac bypass.
I97.418 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other circulatory system procedure.
I97.42 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other procedure.
I97.5 Accidental puncture and laceration of a circulatory system organ or structure during a procedure.
I97.51 Accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedure.
I97.52 Accidental puncture and laceration of a circulatory system organ or structure during other procedure.
I97.6 Postprocedural hemorrhage, hematoma and seroma of a circulatory system organ or structure following a procedure.
I97.61 Postprocedural hemorrhage of a circulatory system organ or structure following a circulatory system procedure.
I97.610 Postprocedural hemorrhage of a circulatory system organ or structure following a cardiac catheterization.
I97.611 Postprocedural hemorrhage of a circulatory system organ or structure following cardiac bypass.
I97.618 Postprocedural hemorrhage of a circulatory system organ or structure following other circulatory system procedure.
I97.62 Postprocedural hemorrhage, hematoma and seroma of a circulatory system organ or structure following other procedure.
I97.620 Postprocedural hemorrhage of a circulatory system organ or structure following other procedure.
I97.621 Postprocedural hematoma of a circulatory system organ or structure following other procedure.
I97.622 Postprocedural seroma of a circulatory system organ or structure following other procedure.
I97.63 Postprocedural hematoma of a circulatory system organ or structure following a circulatory system procedure.
I97.630 Postprocedural hematoma of a circulatory system organ or structure following a cardiac catheterization.
I97.631 Postprocedural hematoma of a circulatory system organ or structure following cardiac bypass.
I97.638 Postprocedural hematoma of a circulatory system organ or structure following other circulatory system procedure.
I97.64 Postprocedural seroma of a circulatory system organ or structure following a circulatory system procedure.
I97.640 Postprocedural seroma of a circulatory system organ or structure following a cardiac catheterization.
I97.641 Postprocedural seroma of a circulatory system organ or structure following cardiac bypass.
I97.648 Postprocedural seroma of a circulatory system organ or structure following other circulatory system procedure.
I97.7 Intraoperative cardiac functional disturbances.
I97.71 Intraoperative cardiac arrest.
I97.710 Intraoperative cardiac arrest during cardiac surgery.
I97.711 Intraoperative cardiac arrest during other surgery.
I97.79 Other intraoperative cardiac functional disturbances.
I97.790 Other intraoperative cardiac functional disturbances during cardiac surgery.
I97.791 Other intraoperative cardiac functional disturbances during other surgery.
I97.8 Other intraoperative and postprocedural complications and disorders of the circulatory system, not elsewhere classified.
I97.81 Intraoperative cerebrovascular infarction.

Code History

FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.

2024 ICD-10-CM Diagnosis Code I97.191

Other postprocedural cardiac functional disturbances following other surgery