I38

Billable

ChapterI00–I99

Rankcategory

Official Description

Endocarditis, valve unspecified

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:

Cardiac Congenital and Valvular Disorders with MCC

Cardiac Congenital and Valvular Disorders without MCC

Prematurity with Major Problems

Full Term Neonate with Major Problems

Cross Reference

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