I51.89 ICD-10-CM Code: Other ill-defined heart diseases

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for I51.89 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on I51.89 itself; “inherited from” names the category or block whose note applies here.

Coder workflow for I51.89

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

Before you code I51.89

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 I51.89; 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).

   ReviewI51.81

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

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

• Excludes2 — not part of I51.89(1 note)

  Coding workflow: The conditions named in this note are not included in I51.89. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

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

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.

Indexed Clinical Terms (11)

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.

• Asynergia, asynergy, ventricular
• Carditis (acute) (bacterial) (chronic) (subacute)
• Disease, diseased, heart (organic), functional
• Disorder (of), cardiac, functional
• Displacement, displaced, heart (congenital), acquired
• Dysfunction, heart
• Dysfunction, papillary muscle
• Hemorrhage, hemorrhagic (concealed), heart
• Hyperkinesia, hyperkinetic (disease) (reaction) (syndrome) (childhood) (adolescence), heart
• Incompetency, incompetent, incompetence, chronotropic, with, left ventricular dysfunction
• Pancarditis (acute) (chronic)

Official Coding Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.

Don’t confuse I51.89 with…

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

The codes most likely to be picked instead of I51.89 — 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.

• I00— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of heart disease specified as rheumatic adds I00; it is not part of this code and both may be reported when both are documented.

  Full comparison: I51.89 vs I00 →

• I09— Excludes2 relationship (Informational)

  Distinct conditions — both may be reported.

  A distinct condition — both may be reported when both are documented.

  What moves you there: Documentation of heart disease specified as rheumatic adds I09; it is not part of this code and both may be reported when both are documented.

  Full comparison: I51.89 vs I09 →

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.

Verify Before Coding

• No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

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

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

FY2026 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 2 MS-DRGs: DRG 302 (MDC 05), DRG 303 (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):CIR015 — Other and ill-defined heart 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 category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Other and ill-defined heart disease).

I25.3 — Aneurysm of heart, I25.41 — Coronary artery aneurysm, I51.0 — Cardiac septal defect, acquired, I51.1 — Rupture of chordae tendineae, not elsewhere classified, I51.2 — Rupture of papillary muscle, not elsewhere classified, I51.3 — Intracardiac thrombosis, not elsewhere classified, I51.5 — Myocardial degeneration, I51.7 — Cardiomegaly, I51.81 — Takotsubo syndrome, I51.9 — Heart disease, unspecified, I52 — Other heart disorders in diseases classified elsewhere, I5A — Non-ischemic myocardial injury (non-traumatic), M05.30 — Rheumatoid heart disease with rheumatoid arthritis of unspecified site, M05.311 — Rheumatoid heart disease with rheumatoid arthritis of right shoulder, M05.312 — Rheumatoid heart disease with rheumatoid arthritis of left shoulder, M05.319 — Rheumatoid heart disease with rheumatoid arthritis of unspecified shoulder, M05.321 — Rheumatoid heart disease with rheumatoid arthritis of right elbow, M05.322 — Rheumatoid heart disease with rheumatoid arthritis of left elbow, M05.329 — Rheumatoid heart disease with rheumatoid arthritis of unspecified elbow, M05.331 — Rheumatoid heart disease with rheumatoid arthritis of right wrist, +15 more

Same Index main term, other category

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

I25.85 — Chronic coronary microvascular dysfunction (coronary microvascular), I25.89 — Other forms of chronic ischemic heart disease (chronotropic, with, ischemic heart disease), I27.841 — Fontan-associated lymphatic dysfunction (lymphatic, Fontan-associated), I31.2 — Hemopericardium, not elsewhere classified (pericardium, pericarditis), I34.0 — Nonrheumatic mitral (valve) insufficiency (annular, mitral), I37.1 — Nonrheumatic pulmonary valve insufficiency (pulmonary valve), I45.89 — Other specified conduction disorders (chronotropic), I49.5 — Sick sinus syndrome (sinoatrial node), I49.89 — Other specified cardiac arrhythmias not elsewhere classified (chronotropic, with, sinus node dysfunction), I50.9 — Heart failure, unspecified (ventricular, with congestive heart failure), I60.0 — Nontraumatic subarachnoid hemorrhage from carotid siphon and bifurcation (intracranial, subarachnoid, intracranialartery, carotid siphon and bifurcation), I60.1 — Nontraumatic subarachnoid hemorrhage from middle cerebral artery (intracranial, subarachnoid, intracranialartery, middle cerebral), I60.2 — Nontraumatic subarachnoid hemorrhage from anterior communicating artery (intracranial, subarachnoid, intracranialartery, anterior communicating), I60.3 — Nontraumatic subarachnoid hemorrhage from posterior communicating artery (intracranial, subarachnoid, intracranialartery, posterior communicating), I60.4 — Nontraumatic subarachnoid hemorrhage from basilar artery (intracranial, subarachnoid, intracranialartery, basilar), I60.5 — Nontraumatic subarachnoid hemorrhage from vertebral artery (intracranial, subarachnoid, intracranialartery, vertebral), I60.6 — Nontraumatic subarachnoid hemorrhage from other intracranial arteries (intracranial, subarachnoid, intracranialartery, specified artery NEC), I60.7 — Nontraumatic subarachnoid hemorrhage from unspecified intracranial artery (intracranial, subarachnoid, intracranialartery), I60.8 — Other nontraumatic subarachnoid hemorrhage (membrane), I60.9 — Nontraumatic subarachnoid hemorrhage, unspecified (intracranial, subarachnoid), +371 more

Contextual Map

Every relationship of I51.89 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.

Hierarchy

• I00-I99 — Chapter 9: Diseases of the Circulatory System (I00-I99) (I00-I99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• I30-I5A — Other forms of heart disease[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026

Clinical classification (CCSR)

• CIR015 — Other and ill-defined heart disease[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)

MS-DRG Grouper

• DRG 302 — ATHEROSCLEROSIS WITH MCC[MS-DRG]: “ATHEROSCLEROSIS WITH MCC (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• DRG 303 — ATHEROSCLEROSIS WITHOUT MCC[MS-DRG]: “ATHEROSCLEROSIS WITHOUT MCC (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026

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. 17,209 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

Index entries (11)

• Asynergia, asynergy, ventricular[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
• Carditis (acute) (bacterial) (chronic) (subacute)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
• Disease, diseased, heart (organic), functional[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
• Disorder (of), cardiac, functional[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
• Displacement, displaced, heart (congenital), acquired[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
• Dysfunction, heart[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
• Dysfunction, papillary muscle[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
• Hemorrhage, hemorrhagic (concealed), heart[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
• and 3 more

Nearest codes (11)

• I51 — Complications and ill-defined descriptions of heart disease[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• I51.0 — Cardiac septal defect, acquired[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• I51.1 — Rupture of chordae tendineae, not elsewhere classified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• I51.2 — Rupture of papillary muscle, not elsewhere classified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• I51.3 — Intracardiac thrombosis, not elsewhere classified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• I51.4 — Myocarditis, unspecified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• I51.5 — Myocardial degeneration[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• I51.7 — Cardiomegaly[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
• and 3 more

Change history

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

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 FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page

Coding guidelines Official source data

ICD-10-CM Official Guidelines for Coding and Reporting (FY2026), quoted by section Release, file and checksum · Publisher’s page

Claim edits Official source data

CMS Definitions of Medicare Code Edits — v43.1 (April 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 — v43 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

Nearest Codes in This Family

Official ICD-10-CM classifications closest to I51.89 in its code family, with their registry titles.

• I51.0 — Cardiac septal defect, acquired
• I51.1 — Rupture of chordae tendineae, not elsewhere classified
• I51.2 — Rupture of papillary muscle, not elsewhere classified
• I51.3 — Intracardiac thrombosis, not elsewhere classified
• I51.4 — Myocarditis, unspecified
• I51.5 — Myocardial degeneration
• I51.7 — Cardiomegaly
• I51.8 — Other ill-defined heart diseases
• I51.81 — Takotsubo syndrome
• I51.9 — Heart disease, unspecified

View all codes in the I51 family