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I01.9

Billable

Acute rheumatic heart disease, unspecified

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Acute rheumatic heart disease when the specific type of cardiac involvement is not documented or specified.

Coding Tips

  • •This is a last-resort code; query the provider for more specific documentation of which cardiac structures are affected
  • •Avoid using this code if any of the more specific I01.0-I01.8 codes can be supported by documentation

Code Hierarchy

└I01Rheumatic fever with heart involvement└I01.9Acute rheumatic heart disease, unspecified
└I01.9Acute rheumatic heart disease, unspecified

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