2027 ICD-10-CM Diagnosis Code I51.7Cardiomegaly

ICD-10-CM Codes›I00–I99›I30-I5A›I51

ICD-10-CM I51.7
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

I51.7 is a billable ICD-10-CM diagnosis code for cardiomegaly. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 302 through 303. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other and ill-defined heart disease.

Code Identity

ICD-10-CM Code
I51.7
Billable Status
Yes — Valid for Submission
Code Describes
Cardiomegaly
Short Description
Cardiomegaly
Same as the full description in the CMS dataset.
Parent Code
Complications and ill-defined descriptions of heart disease

Code Classification

ChapterI00–I99Diseases of the circulatory system
SectionI30-I5AOther forms of heart disease
CategoryI51Complications and ill-defined descriptions of heart disease
This CodeI51.7Cardiomegaly

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Acquired abnormality of right cardiac ventricle
  • Acquired dilatation of left cardiac ventricle
  • Acquired dilatation of right cardiac ventricle
  • Acquired hypertrophy of left cardiac ventricle
  • Acquired hypertrophy of right cardiac ventricle
  • Apex beat displaced
  • Apex beat displaced - LVH
  • Apex beat displaced - RVH
  • Athlete's heart
  • Atrial dilatation
  • Atrial hypertrophy
  • Atrial hypertrophy by EKG
  • Auricular dilatation
  • Bilateral enlargement of atria
  • Cardiac dilatation
  • Cardiac ventricular dilatation
  • Cardiomegaly
  • Congenital dilatation of atrium
  • Cor bovinum
  • EKG: right ventricle hypertrophy
  • Familial idiopathic dilatation of right atrium
  • Giant left atrium
  • Hypertrophic cardiomegaly
  • Hypertrophy of interatrial septum
  • Hypertrophy of left and right cardiac ventricles
  • Left atrial dilatation
  • Left atrial enlargement
  • Left atrial hypertrophy
  • Left atrial hypertrophy by EKG
  • Left cardiac ventricular dilatation
  • Left ventricular hypertrophy
  • Left ventricular hypertrophy by electrocardiogram
  • Markedly enlarged cardiac chamber
  • Mild left ventricular hypertrophy
  • Mildly enlarged cardiac chamber
  • Moderate left ventricular hypertrophy
  • Moderately enlarged cardiac chamber
  • Obstruction of pulmonary great vein due to compression by right atrial dilatation
  • Position of apex beat - finding
  • Right atrial dilatation
  • Right atrial enlargement
  • Right atrial hypertrophy
  • Right atrial hypertrophy by electrocardiogram
  • Right cardiac ventricular dilatation
  • Right ventricular hypertrophy
  • Severe left ventricular hypertrophy
  • Transient ischemic dilatation of left cardiac ventricular cavity
  • Ventricular hypertrophy
  • Ventricular hypertrophy by EKG

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to I51.7: its own notes plus those printed at I51 and Chapter 9. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Cardiac dilatation
  • Cardiac hypertrophy
  • Ventricular dilatation

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

  • cardiomegaly due to hypertension (I11.-)
  • cardiomegaly due to hypertension and chronic kidney disease (I13.-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From I51 Complications and ill-defined descriptions of heart disease applies to 10 codes
  • heart disease specified as rheumatic (I00-I09)
From Chapter 9 (I00-I99) Diseases of the circulatory system applies to 1,433 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • systemic connective tissue disorders (M30-M36)
  • transient cerebral ischemic attacks and related syndromes (G45.-)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name I51.7, its category, or a range that includes it.

Includes 1

These notes mention I51.7.

  • I11 Hypertensive heart disease
    any condition in I50.- or I51.4-I51.7, I51.89, I51.9 due to hypertension names I51.4-I51.7, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming I51.7: its condition is not part of those codes, and both may be reported when the patient has both.

  • I42 Cardiomyopathy
    ventricular hypertrophy (I51.7)

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR CIR015
Other and ill-defined heart disease
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Cardiomegaly

    enlargement of the heart, usually indicated by a cardiothoracic ratio above 0.50. heart enlargement may involve the right, the left, or both heart ventricles or heart atria. cardiomegaly is a nonspecific symptom seen in patients with chronic systolic heart failure (heart failure) or several forms of cardiomyopathies.

Patient EducationClinical

Heart Diseases

Heart disease is a general term that includes many types of heart problems. It's a type of cardiovascular disease, which means heart and blood vessel disease.

The full article covers:

  • What is heart disease?
  • What are the types of heart disease?
  • What causes heart diseases?
  • Who is more likely to develop heart diseases?
  • What are the symptoms of heart disease?
  • How are heart diseases diagnosed?
  • What are the treatments for heart disease?
  • Can heart diseases be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert I51.7 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
429.3 Cardiomegaly
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About I51.7Overview

What is the ICD-10 code for cardiomegaly?

The ICD-10-CM code for cardiomegaly is I51.7 (sometimes written as I517). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is I51.7 (Complications and ill-defined descriptions of heart disease) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report cardiomegaly on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does I51.7 group to?

When cardiomegaly is the principal diagnosis on an inpatient stay, it groups to MS-DRG 302, 303, with relative weights from 0.6610 to 1.1993 depending on complications. Higher weights mean higher Medicare reimbursement.

Can I51.7 be reported with a code from I11?

Not as a rule. The Excludes1 note on I51.7 lists "cardiomegaly due to hypertension (I11.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is the ICD-9 equivalent of I51.7?

Under the General Equivalence Mappings, cardiomegaly converts to ICD-9-CM 429.3 (cardiomegaly). The mapping is a direct match.