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I51.4

Myocarditis, unspecified

Billable FY2026 2025-10-01 → 2026-09-30
This is the unspecified option. 8 more specific codes sit alongside it. Worth checking whether the documentation supports one of them.
Exclusions 12 never code together
I51code
Excludes2
  • heart disease specified as rheumatic (I00-I09)I00-I09
I51.4code
Excludes1
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.-

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

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

Instructional notes 3
I51.4code
Inclusion terms
  • Chronic (interstitial) myocarditis
  • Myocardial fibrosis
  • Myocarditis NOS
Index entries leading here 3
  • Acardiotrophia I51.4
  • Arteriosclerosis, arteriosclerotic (diffuse) (obliterans) (of) (senile) (with calcification) I70.90
  • Myocarditis (with arteriosclerosis)(chronic)(fibroid) (interstitial) (old) (progressive) (senile) I51.4
Alongside this code 8 same parent — I51
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
I51
Block
I30-I5A
Siblings
8

Present FY2024–FY2027.