ICD-10-CM Code I51.0

Cardiac septal defect, acquired

Version 2020 Billable Code Adult Diagnoses

Valid for Submission

I51.0 is a billable code used to specify a medical diagnosis of cardiac septal defect, acquired. The code is valid for the year 2020 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 abnormality of cardiac ventricle, acquired abnormality of cardiac ventricle, 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.

ICD-10:I51.0
Short Description:Cardiac septal defect, acquired
Long Description:Cardiac septal defect, acquired

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 I51.0:

Inclusion Terms

Inclusion Terms
These 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 Excludes
A 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.
  • cardiac septal defect as current complication following acute myocardial infarction I23.1 I23.2

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 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 - Adult. Age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

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 abnormality of cardiac ventricle
  • Acquired abnormality of cardiac ventricle
  • Acquired abnormality of cardiac ventricle
  • Acquired abnormality of cardiac ventricle
  • Acquired abnormality of cardiac ventricle
  • 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
  • Residual interatrial communication 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

The ICD-10 code I51.0 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 10/01/2019 through 09/30/2020.

  • 314 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC
  • 315 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC
  • 316 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC

Convert I51.0 to ICD-9

  • 429.71 - Acq cardiac septl defect (Approximate Flag)

Code Classification

  • Diseases of the circulatory system (I00–I99)
    • Other forms of heart disease (I30-I52)
      • Complications and ill-defined descriptions of heart disease (I51)

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

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


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