Pericarditis in diseases classified elsewhere
In Other forms of heart disease (I30-I5A), chapter 9: Diseases of the Circulatory System
- I32 is billable and valid on claims for FY 2027. If the record has more detail, check the other codes under I30-I5A below.
- As a secondary diagnosis it is a CC (complication or comorbidity), which can raise the MS-DRG payment. It doesn't count when the principal diagnosis is one of 16 closely related codes.
- Doesn't count toward a Medicare Advantage risk score (no HCC in V28).
- AHRQ's Chronic Condition Indicator classes it as not chronic (an acute or short-term condition).
- Can't be the principal diagnosis: code the underlying condition first. (Manifestation list)
Advertisements
Instructional notes
Excludes1: not coded here, use a different code
Code first: code the underlying condition first, then this code
- underlying disease
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers hypertension with heart and kidney disease, coronary artery disease with angina, perioperative stroke, cerebrovascular sequelae, and acute myocardial infarction types and timing.
- Hypertension (page 50)
- Atherosclerotic Coronary Artery Disease and Angina (page 52)
- Intraoperative and Postprocedural Cerebrovascular Accident (page 53)
- Sequelae of Cerebrovascular Disease (page 53)
- Acute myocardial infarction (AMI) (page 54)
Other codes under I30-I5A
Other forms of heart disease (I30-I5A)
- I30Acute pericarditis
- I31Other diseases of pericardium
- I32Pericarditis in diseases classified elsewhere(this code)
- I33Acute and subacute endocarditis
- I34Nonrheumatic mitral valve disorders
- I35Nonrheumatic aortic valve disorders
- I36Nonrheumatic tricuspid valve disorders
- I37Nonrheumatic pulmonary valve disorders
- I38Endocarditis, valve unspecified
- I39Endocarditis and heart valve disorders in diseases classified elsewhere
- I40Acute myocarditis
- I41Myocarditis in diseases classified elsewhere
- I42Cardiomyopathy
- I43Cardiomyopathy in diseases classified elsewhere
- I44Atrioventricular and left bundle-branch block
- I45Other conduction disorders
- I46Cardiac arrest
- I47Paroxysmal tachycardia
- I48Atrial fibrillation and flutter
- I49Other cardiac arrhythmias
- I50Heart failure
- I51Complications and ill-defined descriptions of heart disease
- I52Other heart disorders in diseases classified elsewhere
- I5ANon-ischemic myocardial injury (non-traumatic)
I32 MS-DRGs
As the principal diagnosis, I32 groups to MS-DRG 314, 315, 316, 791, or 793 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
Related conditions
Grouped by AHRQ's Clinical Classifications Software Refined (CCSR), which sorts every diagnosis code into clinically meaningful categories.
I32 is in Pericarditis and pericardial disease (CIR006), with 18 codes. Others in it:
Medicare coverage articles listing I32
These 8 Medicare billing and coding articles list I32 as a diagnosis that supports medical necessity for the services they cover. From the CMS Medicare Coverage Database; check your own contractor's article before billing.
- Frequency of Hemodialysis (7 contractors)
- Cardiac Catheterization and Coronary Angiography (2 contractors)
- Transthoracic Echocardiography (TTE) (2 contractors)
- Cardiac Computed Tomography & Angiography (CCTA)
- Computerized Axial Tomography (CT), Thorax
- Echocardiography
- Electrocardiograms
- Monitored Anesthesia Care
Other codes that refer to I32
Notes on these codes point to I32.
- B39 Use Additional Code: pericarditis (I32)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Pericardial Disorders
The pericardium is a membrane, or sac, that surrounds your heart. It holds the heart in place and helps it work properly. Problems with the pericardium include:
Read more about pericardial disorders on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
ICD-9-CM equivalent
Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).
- 420.0 Acute pericarditis in diseases classified elsewhere (approximate)
