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Compare/I01.0 vs I30

I01.0 vs I30

I01.0 (Acute rheumatic pericarditis) compared with I30 (Acute pericarditis), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. I01.0 carries an Excludes1 note covering I30: “acute pericarditis not specified as rheumatic (I30.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. I30 carries an Excludes1 note covering I01.0: “rheumatic pericarditis (acute) (I01.0)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

I01.0Acute rheumatic pericarditisI30Acute pericarditis
Billing statusBillableNon-billable header

Report instead: I30.0, I30.1, I30.8, I30.9

ClassificationI00-I99 — Diseases of the Circulatory System (I00-I99)I00-I99 — Diseases of the Circulatory System (I00-I99)
DefinitionAcute rheumatic pericarditis is a billable ICD-10-CM diagnosis code (I01.0).Acute pericarditis is a non-billable ICD-10-CM category code (I30).
Includes
Any condition in I00 with pericarditis
Rheumatic pericarditis (acute)
acute mediastinopericarditis
acute myopericarditis
acute pericardial effusion
acute pleuropericarditis

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources