2022 ICD-10-CM Code I51.0
Cardiac septal defect, acquired
Code Classification
I51.0 is a billable diagnosis code used to specify a medical diagnosis of cardiac septal defect, acquired. The code I51.0 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code I51.0 might also be used to specify conditions or terms like acquired abnormality of atrium, acquired abnormality of atrium, acquired abnormality of atrium, acquired abnormality of atrium, acquired atrial septal defect , acquired atrioventricular fistula of heart, etc.
The code I51.0 is applicable to adult patients aged 15 through 124 years inclusive. It is clinically and virtually impossible to use this code on a patient outside the stated age range.
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 coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code I51.0:
Inclusion Terms
Inclusion TermsThese terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Acquired septal atrial defect (old)
- Acquired septal auricular defect (old)
- Acquired septal ventricular defect (old)
Type 1 Excludes
Type 1 ExcludesA type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Entries in the Index to Diseases and Injuries with references to I51.0
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 I51.0 are found in the index:
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
- Adult diagnoses - The Medicare Code Editor detects inconsistencies in adult cases by checking a patient's age and any diagnosis on the patient's record. The adult code edits apply to patients age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Acquired abnormality of atrium
- Acquired abnormality of atrium
- Acquired abnormality of atrium
- Acquired abnormality of atrium
- Acquired atrial septal defect
- Acquired atrioventricular fistula of heart
- Acquired cardiac septal defect
- Acquired cardiac septal defect
- Acquired cardiac septal defect
- Acquired cardiac septal defect
- Acquired interatrial communication
- Acquired interatrial communication
- Acquired ventricular septal defect
- Acquired ventricular septal defect
- Acquired ventricular septal defect
- Acquired ventricular septal defect
- Bidirectional cardiac shunt
- Bidirectional cardiovascular shunt
- Cardiac shunt
- Disorder of atrium following procedure
- Disorder of atrium following procedure
- Disorder of cardiac ventricle following procedure
- Enlarged septal foramen of heart
- Left to right cardiac shunt
- Left to right cardiovascular shunt
- Recurrent atrial component of atrioventricular septal defect after prior cardiovascular surgical procedure
- Recurrent interatrial communication after prior cardiovascular surgical procedure
- Recurrent interatrial communication following procedure
- Recurrent ventricular component of atrioventricular septal defect after prior cardiovascular surgical procedure
- Recurrent ventricular septal defect following procedure
- Residual interatrial communication following procedure
- Residual ventricular septal defect following procedure
- Restrictive ventricular septal defect
- Right to left cardiac shunt
- Right to left cardiovascular shunt
- Surgically constructed interatrial communication
- Traumatic interventricular septal defect
- Ventricular septal defect due to and following infective endocarditis
- Ventricular septal defect following procedure
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code I51.0 is grouped in the following groups for version MS-DRG V39.0 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 10/01/2021 through 09/30/2022.
MS-DRG | MS-DRG Title | MCD | Relative Weight |
---|---|---|---|
314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 05 | 2.0834 |
315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 05 | 0.9752 |
316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | 05 | 0.7495 |
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 I51.0 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code I51.0 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 429.71 - Acq cardiac septl defect (Approximate Flag)
Information for Patients
Heart Diseases
If you're like most people, you think that heart disease is a problem for others. But heart disease is the number one killer in the U.S. It is also a major cause of disability. There are many different forms of heart disease. The most common cause of heart disease is narrowing or blockage of the coronary arteries, the blood vessels that supply blood to the heart itself. This is called coronary artery disease and happens slowly over time. It's the major reason people have heart attacks.
Other kinds of heart problems may happen to the valves in the heart, or the heart may not pump well and cause heart failure. Some people are born with heart disease.
You can help reduce your risk of heart disease by taking steps to control factors that put you at greater risk:
- Control your blood pressure
- Lower your cholesterol
- Don't smoke
- Get enough exercise
NIH: National Heart, Lung, and Blood Institute
[Learn More in MedlinePlus]
Related Codes
ICD Code | Description | Valid for Submission |
---|---|---|
I51 | Complications and ill-defined descriptions of heart disease | NON-BILLABLE CODE |
I51.1 | Rupture of chordae tendineae, not elsewhere classified | BILLABLE CODE |
I51.2 | Rupture of papillary muscle, not elsewhere classified | BILLABLE CODE |
I51.3 | Intracardiac thrombosis, not elsewhere classified | BILLABLE CODE |
I51.4 | Myocarditis, unspecified | BILLABLE CODE |
I51.5 | Myocardial degeneration | BILLABLE CODE |
I51.7 | Cardiomegaly | BILLABLE CODE |
I51.8 | Other ill-defined heart diseases | NON-BILLABLE CODE |
I51.81 | Takotsubo syndrome | BILLABLE CODE |
I51.89 | Other ill-defined heart diseases | BILLABLE CODE |
I51.9 | Heart disease, unspecified | BILLABLE CODE |
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)