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I51.7

Billable

Cardiomegaly

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

What This Code Means

Enlargement of the heart, which can occur as a result of various heart conditions or high blood pressure.

Coding Tips

  • Identify the underlying cause of cardiomegaly (heart failure, hypertension, valvular disease) for additional coding
  • Document whether it is dilated or hypertrophic cardiomegaly when specified

Excludes 1 — Do NOT code together

  • cardiomegaly due to hypertension (I11.-)
  • cardiomegaly due to hypertension and chronic kidney disease (I13.-)

Code Hierarchy

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