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I09.2 ICD-10-CM Code: Chronic rheumatic pericarditis

Compare with another code for I09.2Check this code on a claim

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Official instructions
3 inclusion terms · 1 Excludes1

What these terms mean →

Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.

Excludes1Not reported with this code unless documented as unrelated
  • chronic pericarditis not specified as rheumatic (I31.-)
IncludesWhat this code covers
  • Adherent pericardium, rheumatic
  • Chronic rheumatic mediastinopericarditis
  • Chronic rheumatic myopericarditis

Where it sits Source: CMS/NCHS

Under:Chapter 9: Diseases of the Circulatory SystemI05-I09 Chronic rheumatic heart diseasesI09 Other rheumatic heart diseases

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

  • MS-DRG 314 — OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC (MDC 05)
  • MS-DRG 315 — OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC (MDC 05)
  • MS-DRG 316 — OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC (MDC 05)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for I09.2 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Adherent pericardium, rheumatic
  • Chronic rheumatic mediastinopericarditis
  • Chronic rheumatic myopericarditis

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Coder workflow for I09.2

MedCoder structured workflow — derived from this code’s own official record

Before you code I09.2

  1. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with I09.2. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in I09.2’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewI31

Consider I09.2. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Acuity
Acute or chronic as documented; when both are documented and separate codes exist, both are reported with the acute code first (Guidelines I.B.8).

Official instructions as workflow

  • Excludes1 — check before selecting I09.2(1 note)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with I09.2: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareI31

    See the official tabular notes · Guidelines I.A.12.a

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition I09.2 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewI31

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse I09.2 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of I09.2 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • I31— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of chronic pericarditis not specified as rheumatic moves the case to I31; the two are not reported together unless documented as unrelated.

    Full comparison: I09.2 vs I31 →

  • I09.1— Specificity relationship (Review)

    Overlapping diagnoses in the same category.

    Overlapping codes in the same category — the documentation decides which is the more specific fit.

    What moves you there: A record that documents no more than “Rheumatic diseases of endocardium, valve unspecified” takes I09.1; specificity in the record moves it back here.

    Full comparison: I09.2 vs I09.1 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Chronic rheumatic pericarditis is a billable ICD-10-CM diagnosis code (I09.2).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Verify Before Coding

  • CC as a secondary diagnosis (FY2027). Can raise the stay's MS-DRG severity tier.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name I09.2 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 2 Excludes1 notes: I01 — Rheumatic fever with heart involvement (via I09.-), I31 — Other diseases of pericardium.

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 1 Excludes2 note: I51 — Complications and ill-defined descriptions of heart disease (via I09.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 17 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 3 MS-DRGs: DRG 314 (MDC 05), DRG 315 (MDC 05), DRG 316 (MDC 05).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):CIR001 — Chronic rheumatic heart disease (default); CIR006 — Pericarditis and pericardial disease.

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical process (MS-DRG)

Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.

B33.23 — Viral pericarditis, I01.0 — Acute rheumatic pericarditis, I27.841 — Fontan-associated lymphatic dysfunction, I27.848 — Other Fontan-associated condition, I27.849 — Fontan related circulation, unspecified, I30.0 — Acute nonspecific idiopathic pericarditis, I30.1 — Infective pericarditis, I30.8 — Other forms of acute pericarditis, I30.9 — Acute pericarditis, unspecified, I31.39 — Other pericardial effusion (noninflammatory), I31.8 — Other specified diseases of pericardium, I31.9 — Disease of pericardium, unspecified, I87.8 — Other specified disorders of veins, I87.9 — Disorder of vein, unspecified, I99.8 — Other disorder of circulatory system, I99.9 — Unspecified disorder of circulatory system

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical categories (Chronic rheumatic heart disease, Pericarditis and pericardial disease).

I07.8 — Other rheumatic tricuspid valve diseases, I07.9 — Rheumatic tricuspid valve disease, unspecified, I08.0 — Rheumatic disorders of both mitral and aortic valves, I08.1 — Rheumatic disorders of both mitral and tricuspid valves, I08.2 — Rheumatic disorders of both aortic and tricuspid valves, I08.3 — Combined rheumatic disorders of mitral, aortic and tricuspid valves, I08.8 — Other rheumatic multiple valve diseases, I08.9 — Rheumatic multiple valve disease, unspecified, I09.0 — Rheumatic myocarditis, I09.1 — Rheumatic diseases of endocardium, valve unspecified, I09.81 — Rheumatic heart failure, I09.89 — Other specified rheumatic heart diseases, I09.9 — Rheumatic heart disease, unspecified, I30.0 — Acute nonspecific idiopathic pericarditis, I30.1 — Infective pericarditis, I30.8 — Other forms of acute pericarditis, I30.9 — Acute pericarditis, unspecified, I31.0 — Chronic adhesive pericarditis, I31.1 — Chronic constrictive pericarditis, I31.2 — Hemopericardium, not elsewhere classified, +24 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Pericarditis”, “Adherent”, “Concretio cordis”, …; these codes share that main term but sit in a different category of the Tabular List.

I01 — Rheumatic fever with heart involvement (rheumatic, active with heart involvement), I01.0 — Acute rheumatic pericarditis (rheumatic), I01.2 — Acute rheumatic myocarditis (myocarditis, active or acute), I01.8 — Other acute rheumatic heart disease (coronary arteritis), I02.0 — Rheumatic chorea with heart involvement (acute, with chorea), I02.9 — Rheumatic chorea without heart involvement (rheumatic, with central nervous system involvement), I05.9 — Rheumatic mitral valve disease, unspecified (rheumatic, inactive or quiescent with, endocarditis, mitral), I06.9 — Rheumatic aortic valve disease, unspecified (rheumatic, inactive or quiescent with, endocarditis, aortic), I07.8 — Other rheumatic tricuspid valve diseases (rheumatic, inactive or quiescent with, endocarditis, tricuspid), I08.0 — Rheumatic disorders of both mitral and aortic valves (rheumatic, inactive or quiescent with, endocarditis, aortic, with mitraldisease), I24.1 — Dressler's syndrome (postinfarction), I30.0 — Acute nonspecific idiopathic pericarditis (idiopathic), I30.1 — Infective pericarditis (viral), I30.8 — Other forms of acute pericarditis (fibrinous), I30.9 — Acute pericarditis, unspecified (acute), I31.0 — Chronic adhesive pericarditis (pericardium), I31.1 — Chronic constrictive pericarditis, I31.8 — Other specified diseases of pericardium (neoplastic), I31.9 — Disease of pericardium, unspecified, J00 — Acute nasopharyngitis [common cold] (catarrhal), +184 more

Contextual Map

Every relationship of I09.2 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run I09.2 with these 3 related codes in Claim Check

Hierarchy

Excludes1

Referenced by Excludes1 notes

  • I01 — Rheumatic fever with heart involvement[Excludes1](via I09.-): “chronic diseases of rheumatic origin (I05-I09) unless rheumatic fever is also present or there is evidence of reactivation or activity of the rheumatic process.”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • I31 — Other diseases of pericardium[Excludes1]: “diseases of pericardium specified as rheumatic (I09.2)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027

Referenced by Excludes2 notes

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 05 — Diseases and Disorders of the Circulatory System[MDC crossing]: “Diseases and Disorders of the Circulatory System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 15,708 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027

Index entries (14)

  • Adherent, pericardium (nonrheumatic), rheumatic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Adhesions, adhesive (postinfective), cardiac, rheumatic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Adhesions, adhesive (postinfective), heart, rheumatic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Adhesions, adhesive (postinfective), pericardium (nonrheumatic), rheumatic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Concretio cordis, rheumatic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Fever (inanition) (of unknown origin) (persistent) (with chills) (with rigor), rheumatic (active) (acute) (chronic) (subacute), inactive or quiescent with, pericarditis[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Mediastinopericarditis, chronic, rheumatic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Myopericarditis, chronic rheumatic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • and 6 more

Nearest codes

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Indexed Clinical Terms (14)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder-derived relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder editorial explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "I09.2 — Chronic rheumatic pericarditis." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/i09.2-chronic-rheumatic-pericarditis

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Chronic rheumatic pericarditis

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to I09.2 in its code family, with their registry titles.

View all codes in the I09 family