I23.5 Rupture of papillary muscle as current complication following acute myocardial infarction
The ICD-10-CM code for Rupture of papillary muscle as current complication following acute myocardial infarction is I23.5 (FY2026). It is a billable, claim-ready diagnosis code.
Classification
- Section
- I20-I25: Ischemic heart diseases (I20-I25)
- Category I23
- 10 codes (9 billable)
- FY2026 Status
- Stable since FY2024
Also Known As
ICD-10-CM Alphabetic Index entries that lead to I23.5:
- Rupture, ruptured › papillary muscle NEC › following acute myocardial infarction (current complication)
- Complication (s) (from) (of) › following › acute myocardial infarction NEC › papillary muscle rupture
- Complication (s) (from) (of) › following › acute myocardial infarction NEC › rupture › papillary muscle
U.S. Hospital Utilization
- An estimated 140 U.S. inpatient stays in 2023 included I23.5 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 relatedFor 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