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Cardiology

General Documentation Considerations

Diagnoses

ICD-9 to ICD-10 Crosswalk

The codes in these crosswalks were selected based on the most commonly used ICD-9 codes according to historical MedStar Health coding data and from professional coding associations, and are ordered by frequency of use. 

Not all the codes you need are contained in this list. For a comprehensive list of ICD-10 codes, use Diagnosis Assistant or the IMO Anywhere tool.

Code Description (ICD-9 codes are in blue)
414.00 Coronary atherosclerosis of unspecified type of vessel, native or graft

No map (No ICD-10 code exists for unspecified vessel; native or bypass graft must be indicated)
786.50 Chest pain, unspecified
R07.9 Chest pain, unspecified
R07.89 Other chest pain
R07.2
Precordial pain
R07.1
Chest pain on breathing
R07.81
Pleurodynia
427.89 Cardiac dysrhythmias, other specified
I49.8 Other specified cardiac arrhythmias

*Instructional note in ICD-1 0-CM indicates to code first cardiac arrhythmia complicating:

- abortion or ectopic or molar pregnancy (O00-O07, O08.8)

- obstetric surgery and procedures (O75.4)
427.31 Atrial fibrillation
I48.0 Paroxysmal atrial fibrillation
I48.1 Persistent atrial fibrillation
I48.2
Chronic atrial fibrillation
I48.91
Unspecified atrial-fibrillation
424.1 Aortic valve disorders
I35.9 Nonrheumatic aortic valve disorder, unspecified
I35.0 Nonrheumatic aortic (va)ve) stenosis
I35.1
Nonrheumatic aortic (valve) insufficiency
I35.2
Nonrheumatic aortic (valve) stenosis with insuffisiciency
I35.8
Other nonrheumatic aortic valve disorders
414.01 Coronary athersclerosis of native coronary artery
I25.10 Atherosclerotic heart disease of native coronary artery without angina pectoris

**Assign code from 125.110-125.119 when angina pectoris is present

*Instructional note in ICD-10-CM indicates to use additional code, if applicable, to identify coronary atherosclerosis due to lipid rich plaque (125.83)

Use additional code to identify:

  • chronic total occlusion of coronary artery (I25.82
  • exposure to environmental tobacco smoke (Z77.22)
  • history of tobacco use (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17-)
  • tobacco use (Z72.0)
794.31 Abnormal electrocardiogram
R94.31 Abnormal electrocardiogram
786.05 Shortness of breath
R06.02 Shortness of breath
427.1 Paroxysmal ventricular tachycardia
I47.2 Ventricular tachycardia
425.4 Primary cardiomyopathies, NEC
I42.2 Other hypertrophic cardiomyopathy
I42.5 Other restrictive cardiomyopathy
I42.8
Other cardiomyopathies
I42.9
Cardiomyopathy, unspecified (familial)(idiopathic)

*Instructional note in ICD-10-CM indicates to code first cardiomyopathy complicating pregnancy and puerperium (099.4)
427.69 Premature beats, NEC
I49.3 Ventricular premature depolarization
I49.49 Other premature depolarization

*Instructional note in ICD-10-CM indicates to code first cardiac arrhythmia complicating:

- abortion or ectopic or molar pregnancy (O00-O07, O08.8)

- obstetric surgery and procedures (O75.4)
780.2 Syncope and collapse
R55 Syncope and collapse
427.81 Sinoatrial node dysfunction
I49.5 Sick sinus syndrome

*Instructional note in ICD-10-CM indicates to code first cardiac arrhythmia complicating:

- abortion or ectopic or molar pregnancy (O00-O07, O08.8)

- obstetric surgery and procedures (O75.4)
786.09 Dyspnea and respiratory abnormalities, other
R06.89 Other abnormalities of breathing
424.0 Mitral value disorders
I34.9 Nonrheumatic mitral valve disorder, unspecified

I34.0
Nonrheumatic mitral (valve) insufficiency
I34.1
Nonrheumatic mitral (valve) prolapse
I34.2
Nonrheumatic mitral (valve) stenosis
I34.8
Other nonrheumatic mitral valve disorders
794.30 Abnormal cardiovascular function study, unspecified
R94.30 Abnormal result of cardiovascular function study, unspecified
R94.39 Abnormal result of other cardiovascular function study
785.1 Palpitations
R00.2 Palpitations
F45.8 Psychogenic palpitations
427.9 Cardiac dysrhythmia, unspecified
I49.9 Cardiac arrhythmia, unspecified

**Code first cardiac arrhythmia complicating:

- abortion or ectopic or molar pregnancy (O00-O07, O08.8)

- obstetric surgery and procedures (O75.4)
I47.0
Re-entry ventricular arrhythmia
I47.1
Supraventricular tachycardia
I47.2
Ventricular tachycardia
I47.9
Paroxysmal tachycardia, unspecified

** For 147.0-147.9 Code first cardiac arrhythmia complicating:

- abortion or ectopic or molar pregnancy (O00-O07, O08.8)

- obstetric surgery and procedures (O75.4)
I48.0
Atrial fibrillation
I48.1
Atrial flutter
I49.01
Ventricular fibrillation
I49.02 Ventricular flutter
I49.1
Atrial premature depolarization
I49.2
Junctional premature depolarization
I49.3
Ventricular premature depolarization
I49.40
Unspecified premature depolarization
I49.49
Other premature depolarization
I49.5
Sick sinus syndrome
I49.8
Other specified cardiac arrhythmias

** For 149.0-149.9 Code first cardiac arrhythmia complicating:

- abortion or ectopic or molar pregnancy (O00-O07, O08.8)

- obstetric surgery and procedures (O75.4)
429.3 Cardiomegaly
I51.7 Cardiomegaly
428.22 Systolic heart failure, chronic
I50.22 Chronic systolic (congestive) heart failure

* Instructional note in ICD-10-CM indicates to code first:

- heart failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)

- heart failure following surgery (I97.13-)

- heart failure due to hypertension (I11.0)

- heart failure due to hypertension with chronic kidney disease (I13-)

- obstetric surgery and procedures (O75.4)

- rheumatic heart failure (I09.81)
427.61 Supraventricular premature beats
I49.1 Atrial premature depolarization

* Instructional note in ICD-10-CM indicates to code first cardiac arrhythmia complicating:

- abortion or ectopic or molar pregnancy (O00-O07, O08.8)

- obstetric surgery and procedures (O75.4)
427.0 Paroxysmal supraventricular tachycardia
I47.1 Supraventricular tachycardia

* Instructional note in ICD-10-CM indicates to code first tachycardia complicating:

- abortion or ectopic or molar pregnancy (O00-O07, O08.8)

- obstetric surgery and procedures (O75.4)
786.59 Chest pain, Other
R07.89 Other chest pain NOS
R07.82 Intercostal pain
401.9 Hypertension (essential), unspecified
I10 Essential (primary) hypertension

*Instructional note in ICD-10-CM indicates to use additional

code to identify:

  • exposure to environmental tobacco smoke (Z77.22)
  • history of tobacco use (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17-)
  • tobacco use (Z72.0)
426.0 Atrioventricular block, complete
I44.2 Atrioventricular block, complete
426.11 Atrioventricular block, first degree
I44.0 Atrioventricular block, first degree
401.1 Hypertension, benign
I10 Essential (primary) hypertension

*Instructional note in ICD-10-CM indicates to use additional code to identify:

  • exposure to environmental tobacco smoke (Z77.22)
  • history of tobacco use (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17-)
  • tobacco use (Z72.0)
272.4 Hyperlipidemia, other and unspecified
E78.4 Other hyperlipidemia
E78.5 Hyperlipidemia, unspecified
E78.0
Pure hypercholesterolemia
E78.1
Pure hyperglyceridemia
E78.2
Mixed hyperlipidemia
E78.3
Hyperchylomicronemia
E78.6
Lipoprotein deficiency
V72.81 Pre-operative cardiovascular exam
Z01.810 Encoutner for preprocedural cardiovascular examination
785.2 Cardiac murmurs, undiagnosed
R01.1 Cardiac murmur, unspecified
428.0 Congestive heart failure, unspecified
I50.9 Heart failure, unspecified
I50.1
Left ventricular failure
I50.20
Unspecified systolic (congestive) heart failure
I50.21
Acute systolic (congestive) heart failure
I50.22
Chronic systolic (congestive) heart failure
I50.23
Acute on chronic systolic (congestive) heart failure
I50.30
Unspecified-diastolic (congestive) heart failure
I50.31
Acute diastolic (congestive) heart failure
I50.32
Chronic diastolic (congestive) heart failure
I50.33
Acute on chronic diastolic (congestive) heart failure
I50.40
Unspecified combined systolic (congestive) and diastolic (congestive) heart failure
I50.41
Acute combined systolic (congestive) and diastolic (congestive) heart failure
I50.42
Chronic combined systolic (congestive) and diastolic (congestive) heart failure
I50.43
Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure

*Instructional note in ICD-10-CM indicates to code first:

- heart failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)

- heart failure following surgery (I97.13-)

- heart failure due to hypertension (I11.0)

- heart failure due to hypertension with chronic kidney disease (I13-)

- obstetric surgery and procedures (O75.4)

- rheumatic heart failure (I09.81)
414.8 Other specified forms of chronic ischemic heart disease
I25.89 Other forms of chronic ischemic heart disease
I25.9 Ischemic heart disease; unspecified
427.32 Atrial flutter
I48.3 Typical atrial flutter
I48.4
Atypical atrial flutter
I48.92
Unspecified atrial flutter
426.4 Right bundle branch block
I45.10 Unspecified right bundle-branch block
I45.19
Other right bundle-branch block
I45.2
Bifasicular block
780.79 Other malaise and fatigue
R53.81 Other malaise
R53.1 Weakness
R53.83
Other fatigue
G93.3 Postviral fatigue syndrome
413.9 Angina pectoris, other and unspecified
I20.8 Other forms of angina pectoris
I20.9
Angina pectoris, unspecified
I20.0
Unstable angina
I20.1
Angina pectoris with documented spasm

*Instructional note in ICD-10-CM indicates to use additional code to identify:

- exposure to environmental tobacco smoke (Z77.22)

- history of tobacco use (Z87.891)

- occupational exposure to environmental tobacco smoke (Z57.31)

- tobacco dependence (F17-)

- tobacco use (Z72.0)
428.42 Combined systolic and diastolic heart failure, chronic
I50.42 Chronic combined systolic (congestive) and diastolic (congestive) heart failure

*Instructional note in ICD-10-CM indicates to code first

- heart failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)

- heart failure following surgery (I97.13-)

- heart failure due to hypertension (I11.0)

- heart failure due to hypertension with chronic kidney disease (I13-)

- obstetric surgery and procedures (O75.4)

- rheumatic heart failure (I09.81)
780.4 Dizziness and giddiness
R42 Dizziness and giddiness
411.1 Intermediate coronary syndrome
I20.0 Unstable angina

*Instructional note in ICD-10-CM indicates to use additional code to identify:

- exposure to environmental tobacco smoke (Z77.22)

- history of tobacco use (Z87.891)

- occupational exposure to environmental tobacco smoke (Z57.31)

- tobacco dependence (F17-)

- tobacco use (Z72.0)
412 Myocardial infarct, old
I25.2 Old myocardial infarction

*Instructional note in ICD-10-CM indicates to use additional code to identify:

- exposure to environmental tobacco smoke (Z77.22)

- history of tobacco use (Z87.891)

- occupational exposure to environmental tobacco smoke (Z57.31)

- tobacco dependence (F17-)

- tobacco use (Z72.0)
426.3 Left bundle branch block, other and unspecified
I44.7 Left bundle-branch block, unspecified
I45.2
Bifascicular block
I44.60
Unspecified bifascicular block
I44.4
Left anterior bifascicular block
I44.5
Left posterior bifascicular block
426.50 Bundle branch block, unspecified
I45.4 Nonspecific intraventricular block
I44.30
Unspecified atrioventricular block
I44.39
Other atrioventricular block
425.11 Hypertrophic obstructive cardiomyopathy
I42.1 Obstructive hypertrophic cardiomyopathy

*Instructional note in ICD-10-CM indicates to code first cardiomyopathy complicating pregnancy and puerperium (099.4)
424.2 Tricuspid valve disorders, specified as nonrheumatic
I36.0 Nonrheumatic tricuspid (valve) stenosis
I36.1
Nonrheumatic tricuspid (valve) insufficiency
I36.2
Nonrheumatic tricuspid (valve) stenosis with insufficiency
I36.8
Other nonrheumatic tricuspid valve disorders
I36.9
Non rheumatic tricuspid valve disorder, unspecified
410.40 Myocardial infarction, acute, of other inferior wall, episode of care unspecified
I21.19 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
I21.1
Subsequent ST elevation (STEMI) myocardial infarction of inferior wall

*Instructional note in ICD-10-CM indicates to use additional code to identify:

- exposure to environmental tobacco smoke (Z77.22)

- history of tobacco use (Z87.891)

- occupational exposure to environmental tobacco smoke (Z57.31)

- status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility (Z92.82)

- tobacco dependence (F17-)

- tobacco use (Z72.0)
785.0 Tachycardia, unspecified
R00.0 Tachycardia, unspecified
416.8 Pulmonary heart diseases, other, chronic
I27.2 Other secondary pulmonary hypertension
I27.89 Other specified pulmonary heart disease
I27.9
Pulmonary heart disease, unspecified

*Instructional note under I27.2 states to code also associated underlying condition
426.13 Atrioventricular block, second degree, other
I44.1 Atrioventricular block, second degree
782.3 Edema
R60.0 Localized edema
R60.1
Generalized edema
R60.9
Edema, unspecified
427.41 Ventricular fibrillation
I49.01 Ventricular fibrillation

* Instructional note in ICD-10-CM indicates to code first cardiac arrhythmia complicating:

- abortion or ectopic or molar pregnancy (O00-O07, O08.8)

- obstetric surgery and procedures (O75.4)
416.0 Primary pulmonary hypertension
I27.0 Primary pulmonary hypertension
786.51 Precordial pain
R07.2
Precordial pain
402.10 Benign hypertensive heart disease without heart failure
I11.9 Benign hypertensive heart disease without heart failure
428.1 Left heart failure
I50.1 Left ventricular failure
433.10 Occlusion and stenosis of carotid artery without cerebral infarction

Document which carotid artery is involved and note laterality.
I65.29 Occlusion and stenosis of unspecified carotid artery
I65.21 Occlusion and stenosis of right carotid artery
I65.22
Occlusion and stenosis of left carotid artery
I65.23
Occlusion and stenosis of bilateral carotid arteries
793.2 Nonspecific (abnormal) findings on radiological and other examination of other intrathoracic organs

Documentation must include if abnormal findings are of the heart and coronary circulation or other specified body structures.
R93.1 Abnormal findings on diagnostic imaging of heart and coronary circulation
R93.8 Abnormal findings on diagnostic imaging of other specified body structures
272.0 Pure hypercholesterolemia
E78.0 Pure hypercholesterolemia
440.21 Atherosclerosis of native arteries of the extremities unspecified
I70.209 Unspecified atherosclerosis of native arteries of extremities, unspecified extremity
I70.201 Unspecified atherosclerosis of native arteries of extremities, right leg
I70.202
Unspecified atherosclerosis of native arteries of extremities, left leg
I70.203
Unspecified atherosclerosis of native arteries of extremities, bilateral legs
I70.208
Unspecified atherosclerosis of native arteries of extremities, other extremity
428.23 Acute on chronic systolic heart failure
I50.23 Acute on chronic systolic heart failure
414.04 Coronary atherosclerosis of artery bypass graft

Documentation should specify if atherosclerosis of autologous or other CABG with or without angina pectoris. Note type of angina pectoris (unstable, unspecified, other) and if spasms are presenting. ICD-10 options include the following:
I25.729 Atherosclerosis of autologous artery coronary artery bypass graft(s) with unspecified angina pectoris
I25.790
Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris
I25.791
Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.798
Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris
I25.799
Atherosclerosis of other coronary artery bypass graft(s) with unspecified angina pectoris
I25.721
Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm
436 Acute but ill-defined cerebrovascular disease
I67.89 Other cerebrovascular disease
435.9 Unspecified transient cerebral ischemia

Documentation should note cerebrovascular vasospasm, vasoconstriction, or if reversible cerebrovascular vasoconstriction syndrome:
G45.9 Transient cerebral ischemic attack, unspecified
I67.848
Other cerebrovascular vasospasm and vasoconstriction
I67.841
Reversible cerebrovascular vasoconstriction syndrome
785.9 Other symptoms involving cardiovascular system
 R06.89 Other specified symptoms and signs involving the circulatory and respiratory systems
R06.4 Hyperventilation
R06.81
Apnea, not elsewhere classified
R06.3
Periodic breathing
R06.82
Tachypnea, not elsewhere classified
327.23 Obstructive sleep apnea (adult) (pediatric)
G47.33 Obstructive sleep apnea (adult) (pediatric)
395.0 Rheumatic aortic stenosis
I06.0 Rheumatic aortic stenosis
410.71 Subendocardial infarction initial episode of care

Must document if NSTEMI is original or subsequent.
I21.4 Non-ST elevation (NSTEMI) myocardial infarction
I22.2
Subsequent non-ST elevation (NSTEMI) myocardial infarction
425.9 Secondary cardiomyopathy unspecified

Document if secondary cardiomyopathy is due to drug and external agent. ICD-10 options include:
I42.7 Cardiomyopathy due to drug and external agent
I42.9
Cardiomyopathy, unspecified
410.70 Subendocardial infarction episode of care unspecified
I21.4 Non-ST elevation (NSTEMI) myocardial infarction
V43.3 Heart valve replaced by other means
Z95.2 Presence of prosthetic heart valve
402.11 Benign hypertensive heart disease with heart failure
I11.0 Benign hypertensive heart disease with heart failure
426.7 Anomalous atrioventricular excitation

Anomalous atrioventricular excitation now maps to pre-excitation syndrome
I45.6 Pre-excitation syndrome
427.5 Cardiac arrest
I46.2 Cardiac arrest due to underlying cardiac condition
I46.8 Cardiac arrest due to other underlying condition
I46.9
Cardiac arrest, cause unspecified
426.12 Mobitz (type) ii atrioventricular block
I44.1 Atrioventricular block, second degree
V45.02 Automatic implantable cardiac defibrillator in situ
Z95.810 Automatic implantable cardiac defibrillator in situ
426.82 Long qt syndrome
I45.81 Long qt syndrome
V45.01 Cardiac pacemaker in situ
Z95.0 Presence of cardiac pacemaker
996.04 Mechanical complication of automatic implantable cardiac defibrillator
T82.110A Breakdown (mechanical) of cardiac electrode, initial encounter
T82.111A Breakdown (mechanical) of cardiac pulse generator (battery), initial encounter
T82.120A
Displacement of cardiac electrode, initial encounter
T82.121A
Displacement of cardiac pulse generator (battery), initial encounter
T82.190A
Other mechanical complication of cardiac electrode, initial encounter
T82.191A
Other mechanical complication of cardiac pulse generator (battery), initial encounter