I39BillableSave

I39 - Endocarditis and heart valve disorders in diseases classified elsewhere

ICD-10-CM Chapter 9: Diseases of the circulatory system · I30-I5A Other forms of heart disease (I30-I5A) · Top-level category · FY2027

Includes, Excludes and Coding Notes

Excludes 1 — Not Coded HereFrom I39

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

  • endocardial involvement in:
  • candidiasis (B37.6)
  • gonococcal infection (A54.83)
  • Libman-Sacks disease (M32.11)
  • listerosis (A32.82)
  • meningococcal infection (A39.51)
  • rheumatoid arthritis (M05.31)
  • syphilis (A52.03)
  • tuberculosis (A18.84)
  • typhoid fever (A01.02)
Code FirstFrom I39

Sequence the underlying condition before this code.

  • underlying disease, such as:
  • Q fever (A78)
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 3063,472 discharges

Cardiac Congenital And Valvular Disorders With Mcc

Avg. Medicare Payment

$13,030

Total Payment$15,565
Patient Responsibility$2,535
Hospital Charge$72,644
DRG 3072,600 discharges

Cardiac Congenital And Valvular Disorders Without Mcc

Avg. Medicare Payment

$7,637

Total Payment$9,659
Patient Responsibility$2,022
Hospital Charge$48,722