I01.8 Other acute rheumatic heart disease

The ICD-10-CM code for Other acute rheumatic heart disease is I01.8 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

9: Diseases of the circulatory system (I00-I99)

Section

I00-I02: Acute rheumatic fever (I00-I02)

Category I01

6 codes (5 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to I01.8:

• Rheumatic (acute) (subacute) › coronary arteritis
• Rheumatic (acute) (subacute) › pancarditis, acute
• Arteritis › coronary (artery) › rheumatic
• Pancarditis (acute) (chronic) › rheumatic › active or acute
• Hypertrophy, hypertrophic › cardiac (chronic) (idiopathic) › rheumatic (with chorea) › active or acute
• Hypertrophy, hypertrophic › cardiac (chronic) (idiopathic) › with rheumatic fever (conditions in I00) › active
• Failure, failed › heart (acute) (senile) (sudden) › congestive › rheumatic (chronic) (inactive) (with chorea) › active or acute
• Failure, failed › heart (acute) (senile) (sudden) › congestive › with rheumatic fever (conditions in I00) › active

Inclusion Terms

• Any condition in I00 with other or multiple types of heart involvement
• Acute rheumatic pancarditis

U.S. Hospital Utilization

• An estimated 65 U.S. inpatient stays in 2022 included I01.8 among the documented diagnoses.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Presumed relationship due to Index term “with”

The classification presumes a causal relationship between hypertension and heart involvement and between hypertension and kidney involvement, as the two conditions are linked by the term “with” in the Alphabetic Index. These conditions should be coded as related even in the absence of provider documentation explicitly linking them, unless the documentation clearly states the conditions are unrelated.

Provider must link conditions not specifically indexed as related

For hypertension and conditions not specifically linked by relational terms such as “with,” “associated with” or “due to” in the classification, provider documentation must link the conditions in order to code them as related.

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)