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I51.9

Billable

Heart disease, unspecified

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

What This Code Means

A general diagnosis of heart disease when the specific type or cause cannot be determined or is not documented.

Coding Tips

  • Use this code only when the specific type of heart disease is unknown or unspecified; attempt to obtain more specific documentation from the provider
  • Review the medical record for any symptoms or test results that might indicate a more specific cardiac condition

Code Hierarchy

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