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Endocarditis and heart valve disorders in diseases classified elsewhere

    201620172018201920202021Billable/Specific CodeManifestation Code
  • I39 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Endocarditis and heart valve disord in dis classd elswhr
  • The 2021 edition of ICD-10-CM I39 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of I39 - other international versions of ICD-10 I39 may differ.
ICD-10-CM Coding Rules
  • I39 describes the manifestation of an underlying disease, not the disease itself.
Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a 'use additional code' note at the etiology code, and a 'code first' note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, 'in diseases classified elsewhere.' Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. 'In diseases classified elsewhere' codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • underlying disease, such as:
  • Q fever (

    Q fever

      201620172018201920202021Billable/Specific Code
    Applicable To
    • Infection due to Coxiella burnetii
    • Nine Mile fever
    • Quadrilateral fever
    A78)
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means 'not coded here'. A type 1 excludes note indicates that the code excluded should never be used at the same time as I39. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • endocardial involvement in:
  • candidiasis (

    Candidal endocarditis

      201620172018201920202021Billable/Specific Code
    B37.6)
  • gonococcal infection (
    ICD-10-CM Diagnosis Code A54.83

    Gonococcal heart infection

      201620172018201920202021Billable/Specific Code
    Applicable To
    • Gonococcal endocarditis
    • Gonococcal myocarditis
    • Gonococcal pericarditis
    A54.83)
  • Libman-Sacks disease (
    ICD-10-CM Diagnosis Code M32.11

    Endocarditis in systemic lupus erythematosus

      201620172018201920202021Billable/Specific Code
    M32.11)
  • listerosis (

    Listerial endocarditis

      201620172018201920202021Billable/Specific Code
    A32.82)
  • meningococcal infection (
    ICD-10-CM Diagnosis Code A39.51

    Meningococcal endocarditis

      201620172018201920202021Billable/Specific Code
    A39.51)
  • rheumatoid arthritis (
    ICD-10-CM Diagnosis Code M05.31

    Rheumatoid heart disease with rheumatoid arthritis of shoulder

      201620172018201920202021Non-Billable/Non-Specific Code
    M05.31)
  • syphilis (
    ICD-10-CM Diagnosis Code A52.03

    Syphilitic endocarditis

      201620172018201920202021Billable/Specific Code
    Applicable To
    • Syphilitic aortic valve incompetence or stenosis
    • Syphilitic mitral valve stenosis
    • Syphilitic pulmonary valve regurgitation
    A52.03)
  • tuberculosis (
    ICD-10-CM Diagnosis Code A18.84

    Tuberculosis of heart

      201620172018201920202021Billable/Specific Code
    Applicable To
    • Tuberculous cardiomyopathy
    • Tuberculous endocarditis
    • Tuberculous myocarditis
    • Tuberculous pericarditis
    A18.84)
  • typhoid fever (
    ICD-10-CM Diagnosis Code A01.02

    Typhoid fever with heart involvement

      201620172018201920202021Billable/Specific Code
    Applicable To
    • Typhoid endocarditis
    • Typhoid myocarditis
    A01.02)
The following code(s) above I39 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to I39:
  • I00-I99
    2021 ICD-10-CM Range I00-I99

    Diseases of the circulatory system

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    • systemic connective tissue disorders (M30-M36)
    • transient cerebral ischemic attacks and related syndromes (G45.-)
    Diseases of the circulatory system
Approximate Synonyms
  • Candidal endocarditis
  • Candidal endocarditis (infection of heart valve)
  • Fungal endocarditis
  • Histoplasma capsulatum with endocarditis
  • Histoplasmosis endocarditis
  • Mycotic endocarditis
ICD-10-CM I39 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 306 Cardiac congenital and valvular disorders with mcc
  • 307 Cardiac congenital and valvular disorders without mcc
  • 791 Prematurity with major problems
  • 793 Full term neonate with major problems
I39

Convert I39 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to I39:
  • Use Additional: B39
    ICD-10-CM Diagnosis Code B39

    Histoplasmosis

      201620172018201920202021Non-Billable/Non-Specific Code
    Use Additional
    • code for any associated manifestations, such as:
    • endocarditis (I39)
    • meningitis (G02)
    • pericarditis (I32)
    • retinitis (H32)
I36.2 Nonrheumatic tricuspid (valve) stenosis with insufficiency
I36.8 Other nonrheumatic tricuspid valve disorders
I36.9 Nonrheumatic tricuspid valve disorder, unspecified
I37.0 Nonrheumatic pulmonary valve stenosis

I39 1 6 2 5 Chord Progression

I37.2 Nonrheumatic pulmonary valve stenosis with insufficiency
I37.8 Other nonrheumatic pulmonary valve disorders
I37.9 Nonrheumatic pulmonary valve disorder, unspecified
I39 Endocarditis and heart valve disorders in diseases classified elsewhere
I40.0 Infective myocarditis
I40.8 Other acute myocarditis

I39 1 6 2 X 4

I41 Myocarditis in diseases classified elsewhere
I42.0 Dilated cardiomyopathy
I42.2 Other hypertrophic cardiomyopathy

I39 1 6 24

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.





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