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I42.9

Cardiomyopathy, unspecified

Billable FY2026 2025-10-01 → 2026-09-30
This is the unspecified option. 9 more specific codes sit alongside it. Worth checking whether the documentation supports one of them.
Exclusions 13 never code together
I42code
Excludes2
  • ischemic cardiomyopathy (I25.5)I25.5
  • peripartum cardiomyopathy (O90.3)O90.3
  • ventricular hypertrophy (I51.7)I51.7
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 3
I42code
Includes
  • myocardiopathy
Code first
  • pre-existing cardiomyopathy complicating pregnancy and puerperium (O99.4)O99.4
I42.9code
Inclusion terms
  • Cardiomyopathy (primary) (secondary) NOS
Index entries leading here 4
  • Cardiomyopathy (familial) (idiopathic) I42.9
  • Cardiopathy I51.9
  • Disease, diseased — see also Syndrome
    • myocardium, myocardial I51.5
      • primary (idiopathic) I42.9
  • Myocardiopathy (congestive) (constrictive) (familial) (hypertrophic nonobstructive) (idiopathic) (infiltrative) (obstructive) (primary) (restrictive) (sporadic) I42.9
Alongside this code 9 same parent — I42
Medications 2

MED-RT files conditions by MeSH, which carves the world differently from ICD-10. These are name matches on this code's description, offered as candidates — not as an assertion that they are this code.

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 CMS28HCC227 ESRD21HCC85 ESRD24HCC85 RX08HCC186

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

This code

Billable
yes
Code set
FY2026
Parent
I42
Block
I30-I5A
Siblings
9

Present FY2024–FY2027.