2021 ICD-10-CM Code I09.81
Rheumatic heart failure
Valid for Submission
I09.81 is a billable diagnosis code used to specify a medical diagnosis of rheumatic heart failure. The code I09.81 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code I09.81 might also be used to specify conditions or terms like congestive rheumatic heart failure, left heart failure or rheumatic left ventricular failure.
Code Classification
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code I09.81:
Use Additional Code
Use Additional CodeThe “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
- code to identify type of heart failure I50
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code I09.81 are found in the index:
- - Failure, failed
- - heart (acute) (senile) (sudden) - I50.9
- - ventricular - See Also: Failure, heart; - I50.9
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Congestive rheumatic heart failure
- Left heart failure
- Rheumatic left ventricular failure
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code I09.81 is grouped in the following groups for version MS-DRG V38.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2020 through 09/30/2021.
Convert I09.81 to ICD-9 Code
- 398.91 - Rheumatic heart failure
Information for Patients
Heart Failure
Also called: CHF, Cardiac failure, Congestive heart failure, Left-sided heart failure, Right-sided heart failure
Heart failure is a condition in which the heart can't pump enough blood to meet the body's needs. Heart failure does not mean that your heart has stopped or is about to stop working. It means that your heart is not able to pump blood the way it should. It can affect one or both sides of the heart.
The weakening of the heart's pumping ability causes
- Blood and fluid to back up into the lungs
- The buildup of fluid in the feet, ankles and legs - called edema
- Tiredness and shortness of breath
Common causes of heart failure are coronary artery disease, high blood pressure and diabetes. It is more common in people who are 65 years old or older, African Americans, people who are overweight, and people who have had a heart attack. Men have a higher rate of heart failure than women.
Your doctor will diagnose heart failure by doing a physical exam and heart tests. Treatment includes treating the underlying cause of your heart failure, medicines, and heart transplantation if other treatments fail.
NIH: National Heart, Lung, and Blood Institute
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- Heart failure - medicines (Medical Encyclopedia)
- Heart failure in children - home care (Medical Encyclopedia)
- Heart failure in children - overview (Medical Encyclopedia)
- Heart failure overview (Medical Encyclopedia)
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[Learn More]
Streptococcal Infections
Also called: Strep
Strep is short for Streptococcus, a type of bacteria. There are several types. Two of them cause most of the strep infections in people: group A and group B.
Group A strep causes
- Strep throat - a sore, red throat. Your tonsils may be swollen and have white spots on them.
- Scarlet fever - an illness that follows strep throat. It causes a red rash on the body.
- Impetigo - a skin infection
- Toxic shock syndrome
- Cellulitis and necrotizing fasciitis (flesh-eating disease)
Group B strep can cause blood infections, pneumonia and meningitis in newborns. A screening test during pregnancy can tell if you have it. If you do, I.V. antibiotics during labor can save your baby's life. Adults can also get group B strep infections, especially if they are elderly or already have health problems. Strep B can cause urinary tract infections, blood infections, skin infections and pneumonia in adults.
Antibiotics are used to treat strep infections.
NIH: National Institute of Allergy and Infectious Diseases
- Ecthyma (Medical Encyclopedia)
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- Group B streptococcal septicemia of the newborn (Medical Encyclopedia)
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- Perianal streptococcal cellulitis (Medical Encyclopedia)
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- Scarlet fever (Medical Encyclopedia)
- Strep throat (Medical Encyclopedia)
- Streptococcal screen (Medical Encyclopedia)
- Throat swab culture (Medical Encyclopedia)
- Toxic shock syndrome (Medical Encyclopedia)
[Learn More]
Code History
- 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 (First year ICD-10-CM implemented into the HIPAA code set)