I00BillableSave

I00 - Rheumatic fever without heart involvement

ICD-10-CM Chapter 9: Diseases of the circulatory system · I00-I02 Acute rheumatic fever (I00-I02) · Top-level category · FY2027

Includes, Excludes and Coding Notes

IncludesFrom I00

Conditions this code covers.

  • arthritis, rheumatic, acute or subacute
Excludes 1 — Not Coded HereFrom I00

Mutually exclusive: these conditions are never reported together with this code.

  • rheumatic fever with heart involvement (I01.0 -I01.9)
Excludes 2 — Not Included HereFrom Chapter I00-I99

Not part of this code; report both codes when the patient has both conditions.

  • 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.-)

Inpatient DRG Payments

DRG 5453,396 discharges

Connective Tissue Disorders With Mcc

Avg. Medicare Payment

$22,814

Total Payment$27,689
Patient Responsibility$4,875
Hospital Charge$116,295
DRG 5463,072 discharges

Connective Tissue Disorders With Cc

Avg. Medicare Payment

$9,975

Total Payment$12,918
Patient Responsibility$2,943
Hospital Charge$57,695
DRG 547741 discharges

Connective Tissue Disorders Without Cc/mcc

Avg. Medicare Payment

$6,148

Total Payment$8,733
Patient Responsibility$2,585
Hospital Charge$41,021