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I31.39 ICD-10-CM Code: Other pericardial effusion (noninflammatory)

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

Coding at a Glance

Tabular directives
1 inclusion term · 4 Excludes1

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 I31.39 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

Notes without a marker are published on I31.39 itself; “inherited from” names the category or block whose note applies here.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Chylopericardium

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 I31.39

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

Before you code I31.39

  1. “Other” (NEC) means the condition is specified in the record but no dedicated code captures it. Confirm the documented form is not one a sibling code names before settling on I31.39; if the record states no specifics at all, the unspecified sibling applies instead. “Other” codes are for documented conditions the classification gives no specific code; “unspecified” codes are for records lacking the detail (Guidelines I.A.9.a, I.A.9.b).

    ReviewI31.31

    See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →

  2. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with I31.39. 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 I31.39’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.

    ReviewI30.9, I09.2, I97.0, S26

Consider I31.39. 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).
Any detail beyond this code’s title
What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.

Official instructions as workflow

  • Excludes1 — check before selecting I31.39(4 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with I31.39: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareI30.9, I09.2, I97.0, S26

    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 I31.39 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).

ReviewI30.9, I09.2, I97.0, S26

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 I31.39 with…

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

The codes most likely to be picked instead of I31.39 — 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.

  • I30.9— 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 acute pericardial effusion moves the case to I30.9; the two are not reported together unless documented as unrelated.

    Full comparison: I31.39 vs I30.9 →

  • I09.2— 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 diseases of pericardium specified as rheumatic moves the case to I09.2; the two are not reported together unless documented as unrelated.

    Full comparison: I31.39 vs I09.2 →

  • I97.0— 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 postcardiotomy syndrome moves the case to I97.0; the two are not reported together unless documented as unrelated.

    Full comparison: I31.39 vs I97.0 →

  • S26— 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 traumatic injury to pericardium moves the case to S26; the two are not reported together unless documented as unrelated.

    Full comparison: I31.39 vs S26 →

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.

Code Overview

Other pericardial effusion (noninflammatory) is a billable ICD-10-CM diagnosis code (I31.39).

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

Indexed Clinical Terms (3)

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.

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 structured relationships — computed from published CMS and AHRQ datasets

Other codes that name I31.39 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 1 Excludes1 note: I09.2 — Chronic rheumatic pericarditis (via I31.-).

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

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):CIR006 — Pericarditis and pericardial disease (default).

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, I09.2 — Chronic 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, I31.8 — 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 category (Pericarditis and pericardial disease).

A39.53 — Meningococcal pericarditis, B33.23 — Viral pericarditis, I01.0 — Acute rheumatic pericarditis, I09.2 — Chronic rheumatic pericarditis, 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, I31.3 — Pericardial effusion (noninflammatory), I31.31 — Malignant pericardial effusion in diseases classified elsewhere, I31.4 — Cardiac tamponade, I31.8 — Other specified diseases of pericardium, I31.9 — Disease of pericardium, unspecified, I32 — Pericarditis in diseases classified elsewhere, M32.12 — Pericarditis in systemic lupus erythematosus

Same Index main term, other category

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

A15.6 — Tuberculous pleurisy (pleura, pleurisy, pleuritic, pleuropericardial, tuberculous NEC), A15.7 — Primary respiratory tuberculosis (pleura, pleurisy, pleuritic, pleuropericardial, tuberculous NEC, primary), G93.6 — Cerebral edema (brain), I30.9 — Acute pericarditis, unspecified (acute), J90 — Pleural effusion, not elsewhere classified (pleura, pleurisy, pleuritic, pleuropericardial), J91.0 — Malignant pleural effusion (malignant pleural), J91.8 — Pleural effusion in other conditions classified elsewhere (pleura, pleurisy, pleuritic, pleuropericardial, in conditions classified elsewhere), J94.0 — Chylous effusion (chylous, chyliform), M25.40 — Effusion, unspecified joint (joint), M25.41 — Effusion, shoulder (joint, shoulder), M25.42 — Effusion, elbow (joint, elbow), M25.43 — Effusion, wrist (joint, wrist), M25.44 — Effusion, hand (joint, hand joint), M25.45 — Effusion, hip (joint, hip), M25.46 — Effusion, knee (joint, knee), M25.47 — Effusion, ankle and foot (joint, ankle), M25.48 — Effusion, other site (joint, specified joint NEC), M32.13 — Lung involvement in systemic lupus erythematosus (pleura, pleurisy, pleuritic, pleuropericardial, due to systemic lupus erythematosis), P28.89 — Other specified respiratory conditions of newborn (pleura, pleurisy, pleuritic, pleuropericardial, newborn), R18.8 — Other ascites (peritoneal)

Lab tests where this diagnosis supports Medicare coverage (NCD)

Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.

Thyroid Stimulating Hormone (TSH)

Contextual Map

Every relationship of I31.39 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 I31.39 with this related code in Claim Check

Hierarchy

Referenced by Excludes1 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

  • Chylopericardium[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Effusion, pericardium, pericardial (noninflammatory)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Effusion, pericardium, pericardial (noninflammatory), specified type, NEC[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027

Nearest codes (9)

Change history

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 structured 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 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.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

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. "I31.39 — Other pericardial effusion (noninflammatory)." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/i31.39-other-pericardial-effusion-noninflammatory

Change history

  • FY2023 — October 1, 2022
    Added to the code set
    Other pericardial effusion (noninflammatory)
    FY2023 changes

Nearest Codes in This Family

Official ICD-10-CM classifications closest to I31.39 in its code family, with their registry titles.

View all codes in the I31 family