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    v1.0.30
    OpenPayerBilling CodesOther forms of heart diseaseICD-10-CM i51-complications-and-ill-defined-heart-disease
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    ICD-10-CM Code For Complications And Ill-Defined Descriptions Of Heart Disease: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group I51 includes complications and ill-defined or unspecified descriptions of heart disease, covering conditions such as heart disease complications not classified elsewhere, nonspecific cardiac symptoms, and sequelae of cardiac disorders. These ICD-10-CM diagnosis codes are used to document clinical scenarios where cardiac pathology is present but either secondary, atypical, or insufficiently specified to assign a more specific primary heart disease code, capturing disease severity, organ involvement, or clinical complexity relevant to this group. Accurate coding within the ICD-10-CM I51 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM I51: Complications And Ill-Defined Descriptions Of Heart Disease Overview

    This group encompasses complications and nonspecific or ill-defined descriptions of heart disease affecting cardiac structure and function. It targets cardiac conditions that do not fit more specific categories elsewhere in the classification, including secondary manifestations and poorly specified cardiac signs. Accurate coding supports appropriate reimbursement by ensuring claims reflect the clinical complexity and resource use associated with these cardiac conditions.

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    When to Use

    Use codes from this group when a patient has cardiac complications, nonspecific cardiac findings, or sequelae of heart disease that lack sufficient detail for a more specific ICD-10-CM heart disease code. These codes apply when documentation indicates cardiac involvement but does not identify a primary, classifiable heart condition elsewhere in the classification.

    ICD-10-CM Codes

    10 rows

    ICD-10-CM CodeDescription
    I51.0Cardiac septal defect, acquired
    I51.1Rupture of chordae tendineae, not elsewhere classified
    I51.2Rupture of papillary muscle, not elsewhere classified
    I51.3Intracardiac thrombosis, not elsewhere classified
    I51.4Myocarditis, unspecified
    I51.5Myocardial degeneration
    I51.7Cardiomegaly
    I51.81Takotsubo syndrome
    I51.89Other ill-defined heart diseases
    I51.9Heart disease, unspecified

    DRG Codes

    7 rows

    DRG CodeDescription
    302Atherosclerosis with MCC
    303Atherosclerosis without MCC
    306Cardiac Congenital and Valvular Disorders with MCC
    307Cardiac Congenital and Valvular Disorders without MCC
    314Other Circulatory System Diagnoses with MCC
    315Other Circulatory System Diagnoses with CC
    316Other Circulatory System Diagnoses without CC/MCC

    Typical Clinical Scenarios

    • An older adult with progressive exertional dyspnea and lower extremity edema is evaluated in clinic; echocardiography shows a dilated ventricle with reduced systolic function but no clear ischemic etiology, and the clinician documents heart failure with unspecified cardiomyopathy features and other nonrheumatic heart disease findings. A code from this group is assigned to capture the ill-defined or other specified form of heart disease contributing to chronic symptoms and management. Typical codes: I51.4, I51.9
    • A middle-aged patient presents to the emergency department with acute chest pain and atypical ECG changes after recent viral illness; workup excludes acute myocardial infarction but notes myocarditis-related papillary muscle dysfunction and new significant valvular regurgitation on bedside echo. The patient is coded with a complication or other specified heart disease descriptor from this group to reflect the acute nonischemic myocardial complication. Typical codes: I51.2, I51.3
    • A hospitalized patient with long-standing coronary artery disease develops refractory ventricular arrhythmias and is noted to have hypertrophy with conduction abnormalities on telemetry; the cardiology consult documents unspecified heart disease manifesting as conduction disorder and recurrent arrhythmia as a comorbidity impacting inpatient care. An other/ill-defined heart disease code from the list is used to capture this comorbid cardiac condition. Typical codes: I51.81, I51.89

    Related Codes

    I30-ACUTE-PERICARDITIS

    ICD-10-CM Code For Acute Pericarditis: Group Overview

    I31-OTHER-DISEASES-OF-PERICARDIUM

    ICD-10-CM Code For Other Diseases Of Pericardium: Group Overview

    I32-PERICARDITIS-IN-DISEASES-CLASSIFIED-ELSEWHERE

    ICD-10-CM Code For Pericarditis In Diseases Classified Elsewhere: Group Overview

    I33-ACUTE-AND-SUBACUTE-ENDOCARDITIS

    ICD-10-CM Code For Acute And Subacute Endocarditis: Group Overview

    I34-NONRHEUMATIC-MITRAL-VALVE-DISORDERS

    ICD-10-CM Code For Nonrheumatic Mitral Valve Disorders: Group Overview

    I35-NONRHEUMATIC-AORTIC-VALVE-DISORDERS

    ICD-10-CM Code For Nonrheumatic Aortic Valve Disorders: Group Overview

    I36-NONRHEUMATIC-TRICUSPID-VALVE-DISORDERS

    ICD-10-CM Code For Nonrheumatic Tricuspid Valve Disorders: Group Overview

    I37-NONRHEUMATIC-PULMONARY-VALVE-DISORDERS

    ICD-10-CM Code For Nonrheumatic Pulmonary Valve Disorders: Group Overview

    I38-ENDOCARDITIS-VALVE-UNSPECIFIED

    ICD-10-CM Code For Endocarditis Valve Unspecified: Group Overview

    I39-ENDOCARDITIS-AND-HEART-VALVE-DISORDERS

    ICD-10-CM Code For Endocarditis And Heart Valve Disorders In Diseases Classified Elsewhere: Group Overview

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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