I42.09 - Other dilated cardiomyopathy
ICD-10-CM Chapter 9: Diseases of the circulatory system · I30-I5A Other forms of heart disease (I30-I5A) · Subcategory of I42.0 · FY2027
Inclusion terms listed under I42.09 in the ICD-10-CM tabular list.
- Other nonfamilial dilated cardiomyopathy
Includes, Excludes and Coding Notes
Conditions this code covers.
- myocardiopathy
Not part of this code; report both codes when the patient has both conditions.
- ischemic cardiomyopathy (I25.5)
- peripartum cardiomyopathy (O90.3)
- ventricular hypertrophy (I51.7)
Sequence the underlying condition before this code.
- pre-existing cardiomyopathy complicating pregnancy and puerperium (O99.4)
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
Other Circulatory System Diagnoses With Mcc
Avg. Medicare Payment
$17,259
Other Circulatory System Diagnoses With Cc
Avg. Medicare Payment
$7,510
Other Circulatory System Diagnoses Without Cc/mcc
Avg. Medicare Payment
$5,037
Related condition guides
Documentation requirements, coding pitfalls and FAQs for conditions coded with I42.09.
Codes at the same level as I42.09