ICD-10-CM Code I09.81

Valid for Submission

I09.81 is a billable code used to specify a medical diagnosis of rheumatic heart failure. The code is valid for the year 2020 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 or left heart failure or rheumatic left ventricular failure.

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 Code
The “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
    • - congestive - I50.9
      • - with rheumatic fever (conditions in I00)
        • - inactive or quiescent (with chorea) - I09.81
      • - rheumatic (chronic) (inactive) (with chorea) - I09.81
  • - ventricular - See Also: Failure, heart; - I50.9
    • - left - See Also: Failure, heart, left; - I50.1
      • - with rheumatic fever (conditions in I00)
        • - inactive or quiescent (with chorea) - I09.81
      • - rheumatic (chronic) (inactive) (with chorea) - I09.81

• - Fever (inanition) (of unknown origin) (persistent) (with chills) (with rigor) - R50.9
  • - rheumatic (active) (acute) (chronic) (subacute) - I00
    • - inactive or quiescent with
      • - heart failure (congestive) (conditions in category I50.) - I09.81
      • - left ventricular failure (conditions in I50.1- I50.4-) - I09.81

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

The ICD-10 code I09.81 is grouped in the following groups for version MS-DRG V37.0 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 09/30/2020.

• 222 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI/HF/SHOCK WITH MCC
• 223 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI/HF/SHOCK WITHOUT MCC

Convert I09.81 to ICD-9

• 398.91 - Rheumatic heart failure

Code Classification

• Diseases of the circulatory system (I00–I99)
  • Chronic rheumatic heart diseases (I05-I09)
    • Other rheumatic heart diseases (I09)

Code History

• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
  (First year ICD-10-CM implemented into the HIPAA code set)
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Tools

• Copy Code
• Copy Description
• View Related Codes
• Convert I09.81 to ICD-9