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I30.9 vs I31.3

I30.9 (Acute pericarditis, unspecified) compared with I31.3 (Pericardial effusion (noninflammatory)), 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. I31.3 carries an Excludes1 note covering I30.9: “acute pericardial effusion (I30.9)”

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

I30.9Acute pericarditis, unspecifiedI31.3Pericardial effusion (noninflammatory)
Billing statusBillableNon-billable header

Report instead: I31.31, I31.39

ClassificationI00-I99 — Diseases of the Circulatory System (I00-I99)I00-I99 — Diseases of the Circulatory System (I00-I99)
DefinitionAcute pericarditis, unspecified is a billable ICD-10-CM diagnosis code (I30.9).Pericardial effusion (noninflammatory) is a non-billable ICD-10-CM category code (I31.3).
Includes
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