Acute and subacute endocarditis
In Other forms of heart disease (I30-I5A), chapter 9: Diseases of the Circulatory System
2 billable codes under I33: all are an MCC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
Advertisements
Instructional notes
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)
All codes under I33
I33 can't be used on a claim. Pick a billable code below; grey headings group them.
I33 MS-DRGs
As the principal diagnosis, all 2 billable codes under I33 group to these 8 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 288 Acute and Subacute Endocarditis with MCC
- DRG 289 Acute and Subacute Endocarditis with CC
- DRG 290 Acute and Subacute Endocarditis without CC/MCC
- DRG 791 Prematurity with Major Problems
- DRG 793 Full Term Neonate with Major Problems
- DRG 974 HIV with Major Related Condition with MCC
- DRG 975 HIV with Major Related Condition with CC
- DRG 976 HIV with Major Related Condition without CC/MCC
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Endocarditis
Endocarditis is sometimes called infective endocarditis. It's a rare but life-threatening inflammation of the lining inside your heart's chambers and valves (the endocardium).
Read more about endocarditis on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
