Coding and coverage · ICD-10-CM

I21 › I21.A

I21.A9 Other myocardial infarction type

BillableCMS-HCC V28: HCC 228Chapter 9
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Instructional notes

Chapter 9

Excludes2Not included here: the patient may have both; report both when both are present.
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • systemic connective tissue disorders (M30-M36)
  • transient cerebral ischemic attacks and related syndromes (G45.-)

Section I20-I25

Code also
  • the presence of hypertension (I10-I1A)

I21

Excludes2Not included here: the patient may have both; report both when both are present.
  • old myocardial infarction (I25.2)
  • postmyocardial infarction syndrome (I24.1)
  • subsequent type 1 myocardial infarction (I22.-)
Use additional codeAdd a second code for the full picture.
  • code, if applicable, to identify:
  • exposure to environmental tobacco smoke (Z77.22)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility (Z92.82)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)
Includes
  • cardiac infarction
  • coronary (artery) embolism
  • coronary (artery) occlusion
  • coronary (artery) rupture
  • coronary (artery) thrombosis
  • infarction of heart, myocardium, or ventricle
  • myocardial infarction specified as acute or with a stated duration of 4 weeks (28 days) or less from onset

This code

Code firstSequence the underlying condition first.
  • , if applicable, postprocedural myocardial infarction following cardiac surgery (I97.190), or postprocedural myocardial infarction during cardiac surgery (I97.790)
Code also
  • complication, if known and applicable, such as:
  • (acute) stent occlusion (T82.897-)
  • (acute) stent stenosis (T82.855-)
  • (acute) stent thrombosis (T82.867-)
  • cardiac arrest due to underlying cardiac condition (I46.2)
  • complication of percutaneous coronary intervention (PCI) (I97.89)
  • occlusion of coronary artery bypass graft (T82.218-)
Inclusion terms
  • Myocardial infarction associated with revascularization procedure
  • Myocardial infarction type 3
  • Myocardial infarction type 4a
  • Myocardial infarction type 4b
  • Myocardial infarction type 4c
  • Myocardial infarction type 5

Chapter 9: Diseases of the circulatory system · I20-I25 Ischemic heart diseases (I20-I25)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.