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ICD-10-CM-2023 Diagnosis Codes Overview
ICD-10-CM-2023 > I00-I99 > I20-I25 > I21
I20-I25
Ischemic heart diseases
Use add'l
the presence of hypertension (I10-I16)
I21

Acute myocardial infarction

Incl.:
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
Use add'l
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)
Excl2.:
old myocardial infarction (I25.2)
postmyocardial infarction syndrome (I24.1)
subsequent type 1 myocardial infarction (I22.-)
I21.0

ST elevation (STEMI) myocardial infarction of anterior wall

Info:
Type 1 ST elevation myocardial infarction of anterior wall
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
Info:
ST elevation (STEMI) myocardial infarction involving diagonal coronary artery
I21.09
ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall
Info:
Acute transmural myocardial infarction of anterior wall
Anteroapical transmural (Q wave) infarction (acute)
Anterolateral transmural (Q wave) infarction (acute)
Anteroseptal transmural (Q wave) infarction (acute)
Transmural (Q wave) infarction (acute) (of) anterior (wall) NOS
I21.1

ST elevation (STEMI) myocardial infarction of inferior wall

Info:
Type 1 ST elevation myocardial infarction of inferior wall
I21.11
ST elevation (STEMI) myocardial infarction involving right coronary artery
Info:
Inferoposterior transmural (Q wave) infarction (acute)
I21.19
ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
Info:
Acute transmural myocardial infarction of inferior wall
Inferolateral transmural (Q wave) infarction (acute)
Transmural (Q wave) infarction (acute) (of) diaphragmatic wall
Transmural (Q wave) infarction (acute) (of) inferior (wall) NOS
Excl2.:
ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery (I21.21)
I21.2

ST elevation (STEMI) myocardial infarction of other sites

Info:
Type 1 ST elevation myocardial infarction of other sites
I21.21
ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery
Info:
ST elevation (STEMI) myocardial infarction involving oblique marginal coronary artery
I21.29
ST elevation (STEMI) myocardial infarction involving other sites
Info:
Acute transmural myocardial infarction of other sites
Apical-lateral transmural (Q wave) infarction (acute)
Basal-lateral transmural (Q wave) infarction (acute)
High lateral transmural (Q wave) infarction (acute)
Lateral (wall) NOS transmural (Q wave) infarction (acute)
Posterior (true) transmural (Q wave) infarction (acute)
Posterobasal transmural (Q wave) infarction (acute)
Posterolateral transmural (Q wave) infarction (acute)
Posteroseptal transmural (Q wave) infarction (acute)
Septal transmural (Q wave) infarction (acute) NOS
I21.3
ST elevation (STEMI) myocardial infarction of unspecified site
Info:
Acute transmural myocardial infarction of unspecified site
Transmural (Q wave) myocardial infarction NOS
Type 1 ST elevation myocardial infarction of unspecified site
I21.4
Non-ST elevation (NSTEMI) myocardial infarction
Info:
Acute subendocardial myocardial infarction
Non-Q wave myocardial infarction NOS
Nontransmural myocardial infarction NOS
Type 1 non-ST elevation myocardial infarction
I21.9
Acute myocardial infarction, unspecified
Info:
Myocardial infarction (acute) NOS
I21.A

Other type of myocardial infarction

I21.A1
Myocardial infarction type 2
Info:
Myocardial infarction due to demand ischemia
Myocardial infarction secondary to ischemic imbalance
Code first
the underlying cause, such as:
anemia (D50.0-D64.9)
chronic obstructive pulmonary disease (J44.-)
paroxysmal tachycardia (I47.0-I47.9)
shock (R57.0-R57.9)
I21.A9
Other myocardial infarction type
Info:
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
Code first
, if applicable, postprocedural myocardial infarction following cardiac surgery (I97.190), or postprocedural myocardial infarction during cardiac surgery (I97.790)
Use add'l
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-)

 

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