FY2027 ICD-10-CM reference
I42.2: Other hypertrophic cardiomyopathy
By the HCC Buddy Coding Team
The official ICD-10-CM descriptor is Other hypertrophic cardiomyopathy. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Billable code. Verified against the official FY2027 order file.
FY2027 Tabular instructions
Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.
Excludes2
certain conditions originating in the perinatal period (P04-P96)
Source: I00-I99 (chapter, inherited).
Excludes2
certain infectious and parasitic diseases (A00-B99)
Source: I00-I99 (chapter, inherited).
Excludes2
complications of pregnancy, childbirth and the puerperium (O00-O9A)
Source: I00-I99 (chapter, inherited).
Excludes2
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
Source: I00-I99 (chapter, inherited).
Excludes2
endocrine, nutritional and metabolic diseases (E00-E88)
Source: I00-I99 (chapter, inherited).
Excludes2
injury, poisoning and certain other consequences of external causes (S00-T88)
Source: I00-I99 (chapter, inherited).
Excludes2
neoplasms (C00-D49)
Source: I00-I99 (chapter, inherited).
Excludes2
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Source: I00-I99 (chapter, inherited).
Excludes2
systemic connective tissue disorders (M30-M36)
Source: I00-I99 (chapter, inherited).
Excludes2
transient cerebral ischemic attacks and related syndromes (G45.-)
Source: I00-I99 (chapter, inherited).
Includes
myocardiopathy
Source: I42 (category, inherited).
Code first
pre-existing cardiomyopathy complicating pregnancy and puerperium (O99.4)
Source: I42 (category, inherited).
Excludes2
ischemic cardiomyopathy (I25.5)
Source: I42 (category, inherited).
Excludes2
peripartum cardiomyopathy (O90.3)
Source: I42 (category, inherited).
Excludes2
ventricular hypertrophy (I51.7)
Source: I42 (category, inherited).
Instructional note
Nonobstructive hypertrophic cardiomyopathy
Source: I42.2 (self, direct).
Compare the FY2027 additions, removals and billable-status changes
What does I42.2 mean in FY2027?
The official ICD-10-CM descriptor is Other hypertrophic cardiomyopathy. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Is I42.2 billable in FY2027?
The FY2027 order file marks I42.2 as billable. Check the complete Tabular instructions and documentation before assigning it.
Does I42.2 map to an HCC?
In the CMS 2027 Initial ICD-10-CM Mappings (payment year 2027, 2026 dates of service), I42.2 maps to CMS-HCC V28 HCC 227 (Cardiomyopathy/Myocarditis). For 2027 dates of service, CMS has not yet published the payment year 2028 mappings. Under the PY2026 CMS mapping; CMS 2027 initial file unchanged: ESRD HCC 85; RxHCC HCC 186. Coefficients for these models are pending verification for payment year 2027. CMS-HCC V24, PACE and HHS-HCC mappings are still pending verification for FY2027.
Source: CMS FY2027 ICD-10-CM order file. Read the FY2027 Official Guidelines.
Review the FY2026 April edition