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I40.0

Billable

Infective myocarditis

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

What This Code Means

Inflammation of the heart muscle (myocardium) caused by a bacterial, viral, or other infectious agent.

Coding Tips

  • •Document the causative organism when available to support medical necessity and severity
  • •Distinguish between infective myocarditis and other causes of acute myocarditis

Use Additional Code

  • code (B95-B97) to identify infectious agent

Code Hierarchy

└I40Acute myocarditis└I40.0Infective myocarditis
└I40.0Infective myocarditis

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