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I25.5 vs I42

I25.5 (Ischemic cardiomyopathy) compared with I42 (Cardiomyopathy), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. I42 carries an Excludes2 note covering I25.5: “ischemic cardiomyopathy (I25.5)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

I25.5Ischemic cardiomyopathyI42Cardiomyopathy
Billing statusBillableNon-billable header

Report instead: I42.0, I42.00, I42.01, I42.09, I42.1

ClassificationI00-I99 — Diseases of the Circulatory System (I00-I99)I00-I99 — Diseases of the Circulatory System (I00-I99)
DefinitionIschemic cardiomyopathy is a billable ICD-10-CM diagnosis code (I25.5).Cardiomyopathy is a non-billable ICD-10-CM category code (I42).
Includes
myocardiopathy
Use additional code
code to identify:
chronic total occlusion of coronary artery (I25.82)
exposure to environmental tobacco smoke (Z77.22)
Code first
pre-existing cardiomyopathy complicating pregnancy and puerperium (O99.4)

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