InnovaRx Innova Health Strategies

I27.83

Eisenmenger's syndrome

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 10 never code together
I00-I99chapter
Excludes2
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94
  • systemic connective tissue disorders (M30-M36)M30-M36
  • transient cerebral ischemic attacks and related syndromes (G45.-)G45.-

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 8
I27.83code
Inclusion terms
  • Eisenmenger's complex
  • (Irreversible) Eisenmenger's disease
  • Pulmonary hypertension with right to left shunt related to congenital heart disease
Code also
  • underlying heart defect, if known, such as:
  • atrial septal defect (Q21.1-)Q21.1-
  • Eisenmenger's defect (Q21.8)Q21.8
  • patent ductus arteriosus (Q25.0)Q25.0
  • ventricular septal defect (Q21.0)Q21.0
Index entries leading here 5
  • Complex
    • Eisenmenger's (ventricular septal defect) I27.83
  • Eisenmenger's
  • Disease, diseased — see also Syndrome
    • Eisenmenger's (irreversible) I27.83
  • Syndrome — see also Disease
  • Hypertension, hypertensive (accelerated) (benign) (essential) (idiopathic) (malignant) (systemic) I10
    • pulmonary I27.20
      • with
        • right to left shunt related to congenital heart disease I27.83
Alongside this code 4 same parent — I27.8
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

CMS22HCC85 CMS28HCC226 ESRD21HCC85 ESRD24HCC85 RX08HCC183

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
I27.8
Block
I26-I28
Siblings
4

Present FY2024–FY2027.