All ICD10 Codes

I38

Billable
ChapterI00–I99
Rankcategory
Description

Endocarditis, valve unspecified

About ICD-10-CM code I38

I38 is the ICD-10-CM diagnosis code for Endocarditis, valve unspecified. It sits in I00-I99 Diseases of the Circulatory System, within Other forms of heart disease (I30-I5A). As a billable code, I38 can be reported for reimbursement.

Metadata & Insights
  • •Billable/specific code (valid for reimbursement).
  • •Chapter 9: Diseases of the Circulatory System (I00-I99).

CH9 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • 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.-)

Instructional Notes

Includes
  • endocarditis (chronic) NOS
  • valvular incompetence NOS
  • valvular insufficiency NOS
  • valvular regurgitation NOS
  • valvular stenosis NOS
  • valvulitis (chronic) NOS
Excludes1(Not coded here. Use a different code.)
  • congenital insufficiency of cardiac valve NOS (Q24.8)
  • congenital stenosis of cardiac valve NOS (Q24.8)
  • endocardial fibroelastosis (I42.4)
  • endocarditis specified as rheumatic (I09.1)

Clinical Hierarchy

BillableHas subcodes
CH9Diseases of the circulatory system (I00-I99)
I30-I5AOther forms of heart disease (I30-I5A)
I38Endocarditis, valve unspecifiedBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to I38:

chapterCH9
Diseases of the circulatory system (I00-I99)
View context instructions

MS-DRG Classification

2026 v43.1

This code is grouped within the following Diagnosis Related Group(s) for clinical reimbursement:

DRG 306
Cardiac Congenital and Valvular Disorders with MCC
DRG 307
Cardiac Congenital and Valvular Disorders without MCC
DRG 791
Prematurity with Major Problems
DRG 793
Full Term Neonate with Major Problems

Cross Reference

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