ICD Code Diagnosis for Cardiac Rehabilitation
Cardiac rehabilitation seemingly benefits patients with coronary heart disease and those with heart failure in terms of physical, mental, cognitive, and social function; and a reduction in morbidity, mortality, and healthcare costs
The following ICD-9 Diagnosis codes will allow payment for Cardiac Rehab Services.
Cardiac rehabilitation is a comprehensive intervention that includes the components of exercise training, education, psychosocial management, and a behavioral modification program designed to improve the physical and emotional conditions of patients with heart disease.
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1. An acute myocardial infarction (MI – heart attack) within the preceding 12 months
410.02 Acute myocardial infarction of anterolateral wall, subsequent episode of care
410.12 Acute myocardial infarction of other anterior wall, subsequent episode of care
410.22 Acute myocardial infarction of inferolateral wall, subsequent episode of care
410.32 Acute myocardial infarction of inferoposterior wall, subsequent episode of care
410.42 Acute myocardial infarction of other inferior wall, subsequent episode of care
410.52 Acute myocardial infarction of other lateral wall, subsequent episode of care
410.62 Acute myocardial infarction, true posterior wall infarction, subsequent episode of
care
410.72 Acute myocardial infarction, subendocardial infarction, subsequent episode of care
410.82 Acute myocardial infarction of other specified sites, subsequent episode of care
410.92 Acute myocardial infarction of unspecified site, subsequent episode of care
412 Old myocardial infarction
2. Coronary artery bypass graft surgery (CABG)
414.02 Coronary atherosclerosis of autologous vein bypass graft
414.03 Coronary atherosclerosis of nonautologous biological bypass graft
414.04 Coronary atherosclerosis of artery bypass graft
414.05 Coronary atherosclerosis of unspecified type of bypass graft
414.06 Coronary atherosclerosis of native coronary artery of transplanted heart
414.07 Coronary atherosclerosis of bypass graft (artery) (vein) of transplanted heart
414.8 Other specified forms of chronic ischemic heart disease
414.9 Chronic ischemic heart disease, unspecified.
3. Current stable angina pectoris
413.0 angina decubitus
413.1 prinzmetal angina
413.9 Other and unspecified angina pectoris
4. Heart valve repair or replacement
V42.2 Heart valve replaced by transplant
V43.3 Heart valve replaced by other means, heart assist device
V58.73 Aftercare following surgery of circulatory system (only to describe cardiac valvular
repair)
5. Percutaneous transluminal coronary angioplasty (PTCA) or coronary stenting
V45.81 Postprocedural aortocoronary bypass status
V45.82 Postprocedural percutaneous transluminal coronary angioplasty status
6. Heart or heart-lung transplantation
V42.1 Heart replaced by transplant
V43.89 Other organ or tissue replacement (use for heart/lung transplant)
7. Stable chronic heart failure
428.22 Chronic systolic heart failure
428.32 Chronic diastolic heart failure
428.42 Chronic combined systolic and diastolic heart failure

The following ICD-10 CM Diagnosis codes will allow payment for dates of service on or after 10/1/2015:
1. An acute myocardial infarction (MI – heart attack) within the preceding 12 months
I21.01 ST elevation (STEMI) myocardial infarction involving left main coronary artery
I21.02 ST elevation (STEMI) myocardial infarction involving left anterior descending
coronary artery
I21.09 ST elevation (STEMI) myocardial infarction involving other coronary artery of
anterior wall
I21.11 ST elevation (STEMI) myocardial infarction involving right coronary artery
I21.19 ST elevation (STEMI) myocardial infarction involving other coronary artery of
inferior wall
I21.21 ST elevation (STEMI) myocardial infarction left circumflex coronary artery
I21.29 ST elevation (STEMI) myocardial infarction involving other sites
I21.3 ST elevation (STEMI) myocardial infarction of unspecified site
I25.2 Old myocardial infarction
2. Coronary artery bypass graft surgery (CABG)
I25.5 Ischemic cardiomyopathy
I25.709 Atherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified
angina pectoris
I25.708 Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of
angina pectoris
I25.810 Atherosclerosis of coronary artery bypass graft(s) without angina pectoris
I25.811 Atherosclerosis of native coronary artery of transplanted heart without angina
pectoris
I25.812 Atherosclerosis of bypass graft of coronary artery of transplanted heart without
angina pectoris
I25.89 Other forms of chronic ischemic heart disease
I25.9 Chronic ischemic heart disease, unspecified
3. Current stable angina pectoris
I20.1 Prinzmetal angina
I20.8 Other forms of angina pectoris
I20.9 Angina pectoris, unspecified
4. Heart valve repair or replacement
Z95.1 Presence of aortocoronary bypass graft
Z95.2 Presence of prosthetic heart valve (NOTE: not acceptable as a primary dx)
Z95.3 Presence of xenogenic heart valve
Z95.4 Presence of other heart-valve replacement
5. Percutaneous transluminal coronary angioplasty (PTCA) or coronary stenting
Z95.5 Presence of coronary angioplasty implant and graft
Z98.61 Coronary angioplasty status
6. Heart or heart-lung transplantation
Z94.1 Heart transplant status
Z94.3 Heart and lungs transplant status
7. Stable chronic heart failure
I50.22 Chronic systolic (congestive) heart failure
I50.32 Chronic diastolic (congestive) heart failure
I50.42 Chronic combined systolic (congestive) and diastolic (congestive) heart failure