ICD-10 · PDGM grouping

I30-I5A — Other forms of heart disease

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.1.26.

OASIS-E2 v1.00.0 · ingested 2026-04-26

Codes in range

140

No clinical group

10

A period cannot be grouped from these.

Barred as primary

3

CMS rejects these in the primary position.

Where these codes group

130 of the 140 codes in I30-I5A group to MMTA - Cardiac and Circulatory. A further 10 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Every code in I30-I5A

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
I300Acute nonspecific idiopathic pericarditisHAccepted
I301Infective pericarditisHAccepted
I308Other forms of acute pericarditisHAccepted
I309Acute pericarditis, unspecifiedHAccepted
I310Chronic adhesive pericarditisHAccepted
I311Chronic constrictive pericarditisHAccepted
I312Hemopericardium, not elsewhere classifiedHAccepted
I3131Malignant pericardial effusion in diseases classd elswhrNoneCannot group
I3139Other pericardial effusion (noninflammatory)HAccepted
I314Cardiac tamponadeNoneNot accepted
I318Other specified diseases of pericardiumHAccepted
I319Disease of pericardium, unspecifiedHAccepted
I32Pericarditis in diseases classified elsewhereNoneCannot group
I330Acute and subacute infective endocarditisHAccepted
I339Acute and subacute endocarditis, unspecifiedHAccepted
I340Nonrheumatic mitral (valve) insufficiencyHAccepted
I341Nonrheumatic mitral (valve) prolapseHAccepted
I342Nonrheumatic mitral (valve) stenosisHAccepted
I3481Nonrheumatic mitral (valve) annulus calcificationHAccepted
I3489Other nonrheumatic mitral valve disordersHAccepted
I349Nonrheumatic mitral valve disorder, unspecifiedHAccepted
I350Nonrheumatic aortic (valve) stenosisHAccepted
I351Nonrheumatic aortic (valve) insufficiencyHAccepted
I352Nonrheumatic aortic (valve) stenosis with insufficiencyHAccepted
I358Other nonrheumatic aortic valve disordersHAccepted
I359Nonrheumatic aortic valve disorder, unspecifiedHAccepted
I360Nonrheumatic tricuspid (valve) stenosisHAccepted
I361Nonrheumatic tricuspid (valve) insufficiencyHAccepted
I362Nonrheumatic tricuspid (valve) stenosis with insufficiencyHAccepted
I368Other nonrheumatic tricuspid valve disordersHAccepted
I369Nonrheumatic tricuspid valve disorder, unspecifiedHAccepted
I370Nonrheumatic pulmonary valve stenosisHAccepted
I371Nonrheumatic pulmonary valve insufficiencyHAccepted
I372Nonrheumatic pulmonary valve stenosis with insufficiencyHAccepted
I378Other nonrheumatic pulmonary valve disordersHAccepted
I379Nonrheumatic pulmonary valve disorder, unspecifiedHAccepted
I38Endocarditis, valve unspecifiedHAccepted
I39Endocarditis and heart valve disord in dis classd elswhrNoneCannot group
I400Infective myocarditisHAccepted
I401Isolated myocarditisHAccepted
I408Other acute myocarditisHAccepted
I409Acute myocarditis, unspecifiedHAccepted
I41Myocarditis in diseases classified elsewhereNoneCannot group
I420Dilated cardiomyopathyHAccepted
I421Obstructive hypertrophic cardiomyopathyHAccepted
I422Other hypertrophic cardiomyopathyHAccepted
I423Endomyocardial (eosinophilic) diseaseHAccepted
I424Endocardial fibroelastosisHAccepted
I425Other restrictive cardiomyopathyHAccepted
I426Alcoholic cardiomyopathyHAccepted
I427Cardiomyopathy due to drug and external agentHAccepted
I428Other cardiomyopathiesHAccepted
I429Cardiomyopathy, unspecifiedHAccepted
I43Cardiomyopathy in diseases classified elsewhereNoneCannot group
I440Atrioventricular block, first degreeHAccepted
I441Atrioventricular block, second degreeHAccepted
I442Atrioventricular block, completeHAccepted
I4430Unspecified atrioventricular blockHAccepted
I4439Other atrioventricular blockHAccepted
I444Left anterior fascicular blockHAccepted
I445Left posterior fascicular blockHAccepted
I4460Unspecified fascicular blockHAccepted
I4469Other fascicular blockHAccepted
I447Left bundle-branch block, unspecifiedHAccepted
I450Right fascicular blockHAccepted
I4510Unspecified right bundle-branch blockHAccepted
I4519Other right bundle-branch blockHAccepted
I452Bifascicular blockHAccepted
I453Trifascicular blockHAccepted
I454Nonspecific intraventricular blockHAccepted
I455Other specified heart blockHAccepted
I456Pre-excitation syndromeHAccepted
I4581Long QT syndromeHAccepted
I4589Other specified conduction disordersHAccepted
I459Conduction disorder, unspecifiedHAccepted
I462Cardiac arrest due to underlying cardiac conditionNoneNot accepted
I468Cardiac arrest due to other underlying conditionNoneNot accepted
I469Cardiac arrest, cause unspecifiedHAccepted
I470Re-entry ventricular arrhythmiaHAccepted
I4710Supraventricular tachycardia, unspecifiedHAccepted
I4711Inappropriate sinus tachycardia, so statedHAccepted
I4719Other supraventricular tachycardiaHAccepted
I4720Ventricular tachycardia, unspecifiedHAccepted
I4721Torsades de pointesHAccepted
I4729Other ventricular tachycardiaHAccepted
I479Paroxysmal tachycardia, unspecifiedHAccepted
I480Paroxysmal atrial fibrillationHAccepted
I4811Longstanding persistent atrial fibrillationHAccepted
I4819Other persistent atrial fibrillationHAccepted
I4820Chronic atrial fibrillation, unspecifiedHAccepted
I4821Permanent atrial fibrillationHAccepted
I483Typical atrial flutterHAccepted
I484Atypical atrial flutterHAccepted
I4891Unspecified atrial fibrillationHAccepted
I4892Unspecified atrial flutterHAccepted
I4901Ventricular fibrillationHAccepted
I4902Ventricular flutterHAccepted
I491Atrial premature depolarizationHAccepted
I492Junctional premature depolarizationHAccepted
I493Ventricular premature depolarizationHAccepted
I4940Unspecified premature depolarizationHAccepted
I4949Other premature depolarizationHAccepted
I495Sick sinus syndromeHAccepted
I498Other specified cardiac arrhythmiasHAccepted
I499Cardiac arrhythmia, unspecifiedHAccepted
I501Left ventricular failure, unspecifiedHAccepted
I5020Unspecified systolic (congestive) heart failureHAccepted
I5021Acute systolic (congestive) heart failureHAccepted
I5022Chronic systolic (congestive) heart failureHAccepted
I5023Acute on chronic systolic (congestive) heart failureHAccepted
I5030Unspecified diastolic (congestive) heart failureHAccepted
I5031Acute diastolic (congestive) heart failureHAccepted
I5032Chronic diastolic (congestive) heart failureHAccepted
I5033Acute on chronic diastolic (congestive) heart failureHAccepted
I5040Unsp combined systolic and diastolic (congestive) hrt failHAccepted
I5041Acute combined systolic and diastolic (congestive) hrt failHAccepted
I5042Chronic combined systolic and diastolic hrt failHAccepted
I5043Acute on chronic combined systolic and diastolic hrt failHAccepted
I50810Right heart failure, unspecifiedHAccepted
I50811Acute right heart failureHAccepted
I50812Chronic right heart failureHAccepted
I50813Acute on chronic right heart failureHAccepted
I50814Right heart failure due to left heart failureHAccepted
I5082Biventricular heart failureHAccepted
I5083High output heart failureHAccepted
I5084End stage heart failureHAccepted
I5089Other heart failureHAccepted
I509Heart failure, unspecifiedHAccepted
I510Cardiac septal defect, acquiredHAccepted
I511Rupture of chordae tendineae, not elsewhere classifiedHAccepted
I512Rupture of papillary muscle, not elsewhere classifiedHAccepted
I513Intracardiac thrombosis, not elsewhere classifiedHAccepted
I514Myocarditis, unspecifiedHAccepted
I515Myocardial degenerationHAccepted
I517CardiomegalyHAccepted
I5181Takotsubo syndromeHAccepted
I5189Other ill-defined heart diseasesHAccepted
I519Heart disease, unspecifiedHAccepted
I52Other heart disorders in diseases classified elsewhereNoneCannot group
I5ANon-ischemic myocardial injury (non-traumatic)NoneCannot group

Source: CMS HH PPS Grouper Software v07.1.26, effective 2026-04-01. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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