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Billing and Coding: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography

Medicare Coverage Database article A57183

Article

Contractor
Noridian Healthcare Solutions, LLC
States (A/B MAC)
AK, AS, AZ, CA, GU, HI, ID, MP, MT, ND, NV, OR, SD, UT, WA, WY
Effective
Oct 1, 2026
Contractor numbers
01111, 01112, 01182, 01211, 01212, 01311, 01312, 01911, 02101, 02102, 02201, 02202, 02301, 02302, 02401, 02402, 03101, 03102, 03201, 03202, 03301, 03302, 03401, 03402, 03501, 03502, 03601, 03602
Read the article's coding instructions on CMS — which codes go together, documentation, and frequency limits — before billing. CodeRx lists the codes, not the instructions.

Drug codes in this article

HCPCS Level II drug codes the article lists (other codes it lists are not shown).

Covered ICD-10-CM codes (594)

Diagnosis codes the article lists as supporting medical necessity, grouped as in the article, with CMS's descriptions.

  • A18.84Tuberculosis of heart
  • E10.10Type 1 diabetes mellitus with ketoacidosis without coma
  • E10.11Type 1 diabetes mellitus with ketoacidosis with coma
  • E10.21Type 1 diabetes mellitus with diabetic nephropathy
  • E10.22Type 1 diabetes mellitus with diabetic chronic kidney disease
  • E10.29Type 1 diabetes mellitus with other diabetic kidney complication
  • E10.311Type 1 diabetes mellitus with unspecified diabetic retinopathy with macular edema
  • E10.319Type 1 diabetes mellitus with unspecified diabetic retinopathy without macular edema
  • E10.3211Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye
  • E10.3212Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye
  • E10.3213Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral
  • E10.3219Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye
  • E10.3291Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye
  • E10.3292Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye
  • E10.3293Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral
  • E10.3299Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye
  • E10.3311Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye
  • E10.3312Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye
  • E10.3313Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral
  • E10.3319Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye
  • E10.3391Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye
  • E10.3392Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye
  • E10.3393Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral
  • E10.3399Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye
  • E10.3411Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye
  • E10.3412Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye
  • E10.3413Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral
  • E10.3419Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
  • E10.3491Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye
  • E10.3492Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye
  • E10.3493Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral
  • E10.3499Type 1 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye
  • E10.3511Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
  • E10.3512Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
  • E10.3513Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral
  • E10.3519Type 1 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye
  • E10.3521Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
  • E10.3522Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
  • E10.3523Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
  • E10.3529Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
  • E10.3531Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
  • E10.3532Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
  • E10.3533Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
  • E10.3539Type 1 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
  • E10.3541Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
  • E10.3542Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
  • E10.3543Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
  • E10.3549Type 1 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
  • E10.3551Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, right eye
  • E10.3552Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, left eye
  • E10.3553Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral
  • E10.3559Type 1 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye
  • E10.3591Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye
  • E10.3592Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye
  • E10.3593Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral
  • E10.3599Type 1 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye
  • E10.36Type 1 diabetes mellitus with diabetic cataract
  • E10.37X1Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye
  • E10.37X2Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye
  • E10.37X3Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral
  • E10.37X9Type 1 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye
  • E10.39Type 1 diabetes mellitus with other diabetic ophthalmic complication
  • E10.40Type 1 diabetes mellitus with diabetic neuropathy, unspecified
  • E10.41Type 1 diabetes mellitus with diabetic mononeuropathy
  • E10.42Type 1 diabetes mellitus with diabetic polyneuropathy
  • E10.43Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy
  • E10.44Type 1 diabetes mellitus with diabetic amyotrophy
  • E10.49Type 1 diabetes mellitus with other diabetic neurological complication
  • E10.51Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene
  • E10.52Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene
  • E10.59Type 1 diabetes mellitus with other circulatory complications
  • E10.610Type 1 diabetes mellitus with diabetic neuropathic arthropathy
  • E10.618Type 1 diabetes mellitus with other diabetic arthropathy
  • E10.620Type 1 diabetes mellitus with diabetic dermatitis
  • E10.621Type 1 diabetes mellitus with foot ulcer
  • E10.622Type 1 diabetes mellitus with other skin ulcer
  • E10.628Type 1 diabetes mellitus with other skin complications
  • E10.630Type 1 diabetes mellitus with periodontal disease
  • E10.638Type 1 diabetes mellitus with other oral complications
  • E10.641Type 1 diabetes mellitus with hypoglycemia with coma
  • E10.649Type 1 diabetes mellitus with hypoglycemia without coma
  • E10.65Type 1 diabetes mellitus with hyperglycemia
  • E10.69Type 1 diabetes mellitus with other specified complication
  • E10.8Type 1 diabetes mellitus with unspecified complications
  • E10.9Type 1 diabetes mellitus without complications
  • E11.00Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
  • E11.01Type 2 diabetes mellitus with hyperosmolarity with coma
  • E11.21Type 2 diabetes mellitus with diabetic nephropathy
  • E11.22Type 2 diabetes mellitus with diabetic chronic kidney disease
  • E11.29Type 2 diabetes mellitus with other diabetic kidney complication
  • E11.311Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema
  • E11.319Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema
  • E11.3211Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye
  • E11.3212Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye
  • E11.3213Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral
  • E11.3219Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye
  • E11.3291Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye
  • E11.3292Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye
  • E11.3293Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral
  • E11.3299Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye
  • E11.3311Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye
  • E11.3312Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye
  • E11.3313Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral
  • E11.3319Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye
  • E11.3391Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye
  • E11.3392Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye
  • E11.3393Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral
  • E11.3399Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye
  • E11.3411Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye
  • E11.3412Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye
  • E11.3413Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral
  • E11.3419Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
  • E11.3491Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye
  • E11.3492Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye
  • E11.3493Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral
  • E11.3499Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye
  • E11.3511Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
  • E11.3512Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
  • E11.3513Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral
  • E11.3519Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye
  • E11.3521Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
  • E11.3522Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
  • E11.3523Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
  • E11.3529Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
  • E11.3531Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
  • E11.3532Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
  • E11.3533Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
  • E11.3539Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
  • E11.3541Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
  • E11.3542Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
  • E11.3543Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
  • E11.3549Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
  • E11.3551Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, right eye
  • E11.3552Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eye
  • E11.3553Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral
  • E11.3559Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye
  • E11.3591Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye
  • E11.3592Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye
  • E11.3593Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral
  • E11.3599Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye
  • E11.36Type 2 diabetes mellitus with diabetic cataract
  • E11.37X1Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye
  • E11.37X2Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye
  • E11.37X3Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral
  • E11.37X9Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye
  • E11.39Type 2 diabetes mellitus with other diabetic ophthalmic complication
  • E11.40Type 2 diabetes mellitus with diabetic neuropathy, unspecified
  • E11.41Type 2 diabetes mellitus with diabetic mononeuropathy
  • E11.42Type 2 diabetes mellitus with diabetic polyneuropathy
  • E11.43Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy
  • E11.44Type 2 diabetes mellitus with diabetic amyotrophy
  • E11.49Type 2 diabetes mellitus with other diabetic neurological complication
  • E11.51Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
  • E11.52Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
  • E11.59Type 2 diabetes mellitus with other circulatory complications
  • E11.610Type 2 diabetes mellitus with diabetic neuropathic arthropathy
  • E11.618Type 2 diabetes mellitus with other diabetic arthropathy
  • E11.620Type 2 diabetes mellitus with diabetic dermatitis
  • E11.621Type 2 diabetes mellitus with foot ulcer
  • E11.622Type 2 diabetes mellitus with other skin ulcer
  • E11.628Type 2 diabetes mellitus with other skin complications
  • E11.630Type 2 diabetes mellitus with periodontal disease
  • E11.638Type 2 diabetes mellitus with other oral complications
  • E11.641Type 2 diabetes mellitus with hypoglycemia with coma
  • E11.649Type 2 diabetes mellitus with hypoglycemia without coma
  • E11.65Type 2 diabetes mellitus with hyperglycemia
  • E11.69Type 2 diabetes mellitus with other specified complication
  • E11.8Type 2 diabetes mellitus with unspecified complications
  • E11.9Type 2 diabetes mellitus without complications
  • E13.00Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
  • E13.01Other specified diabetes mellitus with hyperosmolarity with coma
  • E13.10Other specified diabetes mellitus with ketoacidosis without coma
  • E13.11Other specified diabetes mellitus with ketoacidosis with coma
  • E13.21Other specified diabetes mellitus with diabetic nephropathy
  • E13.22Other specified diabetes mellitus with diabetic chronic kidney disease
  • E13.29Other specified diabetes mellitus with other diabetic kidney complication
  • E13.311Other specified diabetes mellitus with unspecified diabetic retinopathy with macular edema
  • E13.319Other specified diabetes mellitus with unspecified diabetic retinopathy without macular edema
  • E13.3211Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye
  • E13.3212Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye
  • E13.3213Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral
  • E13.3219Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye
  • E13.3291Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye
  • E13.3292Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye
  • E13.3293Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral
  • E13.3299Other specified diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye
  • E13.3311Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye
  • E13.3312Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye
  • E13.3313Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral
  • E13.3319Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye
  • E13.3391Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye
  • E13.3392Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye
  • E13.3393Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral
  • E13.3399Other specified diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye
  • E13.3411Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye
  • E13.3412Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye
  • E13.3413Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral
  • E13.3419Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye
  • E13.3491Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye
  • E13.3492Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye
  • E13.3493Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral
  • E13.3499Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye
  • E13.3511Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye
  • E13.3512Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye
  • E13.3513Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral
  • E13.3519Other specified diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye
  • E13.3521Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye
  • E13.3522Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye
  • E13.3523Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral
  • E13.3529Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye
  • E13.3531Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye
  • E13.3532Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye
  • E13.3533Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral
  • E13.3539Other specified diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye
  • E13.3541Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye
  • E13.3542Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye
  • E13.3543Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral
  • E13.3549Other specified diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye
  • E13.3551Other specified diabetes mellitus with stable proliferative diabetic retinopathy, right eye
  • E13.3552Other specified diabetes mellitus with stable proliferative diabetic retinopathy, left eye
  • E13.3553Other specified diabetes mellitus with stable proliferative diabetic retinopathy, bilateral
  • E13.3559Other specified diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye
  • E13.3591Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye
  • E13.3592Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye
  • E13.3593Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral
  • E13.3599Other specified diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye
  • E13.36Other specified diabetes mellitus with diabetic cataract
  • E13.37X1Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, right eye
  • E13.37X2Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, left eye
  • E13.37X3Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral
  • E13.37X9Other specified diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye
  • E13.39Other specified diabetes mellitus with other diabetic ophthalmic complication
  • E13.40Other specified diabetes mellitus with diabetic neuropathy, unspecified
  • E13.41Other specified diabetes mellitus with diabetic mononeuropathy
  • E13.42Other specified diabetes mellitus with diabetic polyneuropathy
  • E13.43Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy
  • E13.44Other specified diabetes mellitus with diabetic amyotrophy
  • E13.49Other specified diabetes mellitus with other diabetic neurological complication
  • E13.51Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene
  • E13.52Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene
  • E13.59Other specified diabetes mellitus with other circulatory complications
  • E13.610Other specified diabetes mellitus with diabetic neuropathic arthropathy
  • E13.618Other specified diabetes mellitus with other diabetic arthropathy
  • E13.620Other specified diabetes mellitus with diabetic dermatitis
  • E13.621Other specified diabetes mellitus with foot ulcer
  • E13.622Other specified diabetes mellitus with other skin ulcer
  • E13.628Other specified diabetes mellitus with other skin complications
  • E13.630Other specified diabetes mellitus with periodontal disease
  • E13.638Other specified diabetes mellitus with other oral complications
  • E13.641Other specified diabetes mellitus with hypoglycemia with coma
  • E13.649Other specified diabetes mellitus with hypoglycemia without coma
  • E13.65Other specified diabetes mellitus with hyperglycemia
  • E13.69*Other specified diabetes mellitus with other specified complication
  • E13.8Other specified diabetes mellitus with unspecified complications
  • E13.9Other specified diabetes mellitus without complications
  • E78.00Pure hypercholesterolemia, unspecified
  • E78.010Homozygous familial hypercholesterolemia [HoFH]
  • E78.011Heterozygous familial hypercholesterolemia [HeFH]
  • E78.019Familial hypercholesterolemia, unspecified
  • E78.2Mixed hyperlipidemia
  • E78.89Other lipoprotein metabolism disorders
  • I05.0Rheumatic mitral stenosis
  • I05.1Rheumatic mitral insufficiency
  • I05.2Rheumatic mitral stenosis with insufficiency
  • I05.8Other rheumatic mitral valve diseases
  • I06.0Rheumatic aortic stenosis
  • I06.1Rheumatic aortic insufficiency
  • I06.2Rheumatic aortic stenosis with insufficiency
  • I06.8Other rheumatic aortic valve diseases
  • I08.0Rheumatic disorders of both mitral and aortic valves
  • I08.1Rheumatic disorders of both mitral and tricuspid valves
  • I08.2Rheumatic disorders of both aortic and tricuspid valves
  • I08.3Combined rheumatic disorders of mitral, aortic and tricuspid valves
  • I08.8Other rheumatic multiple valve diseases
  • I09.0Rheumatic myocarditis
  • I09.81Rheumatic heart failure
  • I11.0Hypertensive heart disease with heart failure
  • I13.0Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
  • I13.10Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
  • I13.11Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease
  • I13.2Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
  • I20.1Angina pectoris with documented spasm
  • I20.81Angina pectoris with coronary microvascular dysfunction
  • I20.89Other forms of angina pectoris
  • I21.01ST elevation (STEMI) myocardial infarction involving left main coronary artery
  • I21.02ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery
  • I21.09ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall
  • I21.11ST elevation (STEMI) myocardial infarction involving right coronary artery
  • I21.19ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
  • I21.21ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery
  • I21.29ST elevation (STEMI) myocardial infarction involving other sites
  • I21.4Non-ST elevation (NSTEMI) myocardial infarction
  • I21.BMyocardial infarction with coronary microvascular dysfunction
  • I22.0Subsequent ST elevation (STEMI) myocardial infarction of anterior wall
  • I22.1Subsequent ST elevation (STEMI) myocardial infarction of inferior wall
  • I22.2Subsequent non-ST elevation (NSTEMI) myocardial infarction
  • I22.8Subsequent ST elevation (STEMI) myocardial infarction of other sites
  • I23.0Hemopericardium as current complication following acute myocardial infarction
  • I23.1Atrial septal defect as current complication following acute myocardial infarction
  • I23.2Ventricular septal defect as current complication following acute myocardial infarction
  • I23.3Rupture of cardiac wall without hemopericardium as current complication following acute myocardial infarction
  • I23.4Rupture of chordae tendineae as current complication following acute myocardial infarction
  • I23.5Rupture of papillary muscle as current complication following acute myocardial infarction
  • I23.6Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction
  • I23.7Postinfarction angina
  • I23.8Other current complications following acute myocardial infarction
  • I24.0Acute coronary thrombosis not resulting in myocardial infarction
  • I24.1Dressler's syndrome
  • I24.81Acute coronary microvascular dysfunction
  • I24.89Other forms of acute ischemic heart disease
  • I25.10Atherosclerotic heart disease of native coronary artery without angina pectoris
  • I25.110Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
  • I25.111Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm
  • I25.112Atherosclerotic heart disease of native coronary artery with refractory angina pectoris
  • I25.118Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris
  • I25.119Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris
  • I25.2Old myocardial infarction
  • I25.5Ischemic cardiomyopathy
  • I25.6Silent myocardial ischemia
  • I25.702Atherosclerosis of coronary artery bypass graft(s), unspecified, with refractory angina pectoris
  • I25.710Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris
  • I25.711Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm
  • I25.712Atherosclerosis of autologous vein coronary artery bypass graft(s) with refractory angina pectoris
  • I25.718Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris
  • I25.720Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris
  • I25.721Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm
  • I25.722Atherosclerosis of autologous artery coronary artery bypass graft(s) with refractory angina pectoris
  • I25.728Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris
  • I25.730Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina pectoris
  • I25.731Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm
  • I25.732Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with refractory angina pectoris
  • I25.738Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris
  • I25.750Atherosclerosis of native coronary artery of transplanted heart with unstable angina
  • I25.751Atherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm
  • I25.752Atherosclerosis of native coronary artery of transplanted heart with refractory angina pectoris
  • I25.758Atherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris
  • I25.760Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina
  • I25.761Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm
  • I25.762Atherosclerosis of bypass graft of coronary artery of transplanted heart with refractory angina pectoris
  • I25.768Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris
  • I25.790Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris
  • I25.791Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm
  • I25.792Atherosclerosis of other coronary artery bypass graft(s) with refractory angina pectoris
  • I25.798Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris
  • I25.810Atherosclerosis of coronary artery bypass graft(s) without angina pectoris
  • I25.811Atherosclerosis of native coronary artery of transplanted heart without angina pectoris
  • I25.812Atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris
  • I25.83Coronary atherosclerosis due to lipid rich plaque
  • I25.84Coronary atherosclerosis due to calcified coronary lesion
  • I25.85Chronic coronary microvascular dysfunction
  • I25.89Other forms of chronic ischemic heart disease
  • I27.0Primary pulmonary hypertension
  • I27.81Cor pulmonale (chronic)
  • I27.848Other Fontan-associated condition
  • I27.849Fontan related circulation, unspecified
  • I34.0Nonrheumatic mitral (valve) insufficiency
  • I34.1Nonrheumatic mitral (valve) prolapse
  • I34.2Nonrheumatic mitral (valve) stenosis
  • I34.81Nonrheumatic mitral (valve) annulus calcification
  • I34.89Other nonrheumatic mitral valve disorders
  • I35.0Nonrheumatic aortic (valve) stenosis
  • I35.1Nonrheumatic aortic (valve) insufficiency
  • I35.2Nonrheumatic aortic (valve) stenosis with insufficiency
  • I35.8Other nonrheumatic aortic valve disorders
  • I36.0Nonrheumatic tricuspid (valve) stenosis
  • I36.1Nonrheumatic tricuspid (valve) insufficiency
  • I36.2Nonrheumatic tricuspid (valve) stenosis with insufficiency
  • I36.8Other nonrheumatic tricuspid valve disorders
  • I37.0Nonrheumatic pulmonary valve stenosis
  • I37.1Nonrheumatic pulmonary valve insufficiency
  • I37.2Nonrheumatic pulmonary valve stenosis with insufficiency
  • I37.8Other nonrheumatic pulmonary valve disorders
  • I42.00Dilated cardiomyopathy, unspecified
  • I42.01Familial-genetic dilated cardiomyopathy
  • I42.09Other dilated cardiomyopathy
  • I42.1Obstructive hypertrophic cardiomyopathy
  • I42.2Other hypertrophic cardiomyopathy
  • I42.3Endomyocardial (eosinophilic) disease
  • I42.4Endocardial fibroelastosis
  • I42.5Other restrictive cardiomyopathy
  • I42.6Alcoholic cardiomyopathy
  • I42.7Cardiomyopathy due to drug and external agent
  • I42.81Arrhythmogenic cardiomyopathy
  • I42.89Other cardiomyopathies not elsewhere classified
  • I42.9Cardiomyopathy, unspecified
  • I43Cardiomyopathy in diseases classified elsewhere
  • I44.0Atrioventricular block, first degree
  • I44.1Atrioventricular block, second degree
  • I44.39Other atrioventricular block
  • I44.4Left anterior fascicular block
  • I44.5Left posterior fascicular block
  • I44.69Other fascicular block
  • I44.7Left bundle-branch block, unspecified
  • I45.0Right fascicular block
  • I45.19Other right bundle-branch block
  • I45.4Nonspecific intraventricular block
  • I45.5Other specified heart block
  • I45.6Pre-excitation syndrome
  • I45.81Long QT syndrome
  • I45.89Other specified conduction disorders
  • I46.2Cardiac arrest due to underlying cardiac condition
  • I46.8Cardiac arrest due to other underlying condition
  • I47.0Re-entry ventricular arrhythmia
  • I47.11Inappropriate sinus tachycardia, so stated
  • I47.19Other supraventricular tachycardia
  • I47.21Torsades de pointes
  • I47.22Catecholaminergic polymorphic ventricular tachycardia [CPVT]
  • I47.29Other ventricular tachycardia
  • I48.0Paroxysmal atrial fibrillation
  • I48.11Longstanding persistent atrial fibrillation
  • I48.21Permanent atrial fibrillation
  • I48.3Typical atrial flutter
  • I48.4Atypical atrial flutter
  • I48.91Unspecified atrial fibrillation
  • I48.92Unspecified atrial flutter
  • I49.01Ventricular fibrillation
  • I49.02Ventricular flutter
  • I49.1Atrial premature depolarization
  • I49.3Ventricular premature depolarization
  • I49.49Other premature depolarization
  • I49.5Sick sinus syndrome
  • I49.81Brugada syndrome
  • I49.82Ventricular bigeminy
  • I49.89Other specified cardiac arrhythmias not elsewhere classified
  • I50.1Left ventricular failure, unspecified
  • I50.21Acute systolic (congestive) heart failure
  • I50.22Chronic systolic (congestive) heart failure
  • I50.23Acute on chronic systolic (congestive) heart failure
  • I50.31Acute diastolic (congestive) heart failure
  • I50.32Chronic diastolic (congestive) heart failure
  • I50.33Acute on chronic diastolic (congestive) heart failure
  • I50.41Acute combined systolic (congestive) and diastolic (congestive) heart failure
  • I50.42Chronic combined systolic (congestive) and diastolic (congestive) heart failure
  • I50.43Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure
  • I51.0Cardiac septal defect, acquired
  • I51.1Rupture of chordae tendineae, not elsewhere classified
  • I51.2Rupture of papillary muscle, not elsewhere classified
  • I51.3Intracardiac thrombosis, not elsewhere classified
  • I51.5Myocardial degeneration
  • I51.7Cardiomegaly
  • I51.89Other ill-defined heart diseases
  • I63.031Cerebral infarction due to thrombosis of right carotid artery
  • I63.032Cerebral infarction due to thrombosis of left carotid artery
  • I63.131Cerebral infarction due to embolism of right carotid artery
  • I63.132Cerebral infarction due to embolism of left carotid artery
  • I65.21Occlusion and stenosis of right carotid artery
  • I65.22Occlusion and stenosis of left carotid artery
  • I65.23Occlusion and stenosis of bilateral carotid arteries
  • I70.0Atherosclerosis of aorta
  • I70.211Atherosclerosis of native arteries of extremities with intermittent claudication, right leg
  • I70.212Atherosclerosis of native arteries of extremities with intermittent claudication, left leg
  • I70.213Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs
  • I70.218Atherosclerosis of native arteries of extremities with intermittent claudication, other extremity
  • I70.221Atherosclerosis of native arteries of extremities with rest pain, right leg
  • I70.222Atherosclerosis of native arteries of extremities with rest pain, left leg
  • I70.223Atherosclerosis of native arteries of extremities with rest pain, bilateral legs
  • I70.228Atherosclerosis of native arteries of extremities with rest pain, other extremity
  • I70.261Atherosclerosis of native arteries of extremities with gangrene, right leg
  • I70.262Atherosclerosis of native arteries of extremities with gangrene, left leg
  • I70.263Atherosclerosis of native arteries of extremities with gangrene, bilateral legs
  • I70.268Atherosclerosis of native arteries of extremities with gangrene, other extremity
  • I70.91Generalized atherosclerosis
  • I71.010Dissection of ascending aorta
  • I71.011Dissection of aortic arch
  • I71.012Dissection of descending thoracic aorta
  • I71.019Dissection of thoracic aorta, unspecified
  • I71.02Dissection of abdominal aorta
  • I71.03Dissection of thoracoabdominal aorta
  • I71.10Thoracic aortic aneurysm, ruptured, unspecified
  • I71.11Aneurysm of the ascending aorta, ruptured
  • I71.12Aneurysm of the aortic arch, ruptured
  • I71.13Aneurysm of the descending thoracic aorta, ruptured
  • I71.21Aneurysm of the ascending aorta, without rupture
  • I71.22Aneurysm of the aortic arch, without rupture
  • I71.23Aneurysm of the descending thoracic aorta, without rupture
  • I71.30Abdominal aortic aneurysm, ruptured, unspecified
  • I71.31Pararenal abdominal aortic aneurysm, ruptured
  • I71.32Juxtarenal abdominal aortic aneurysm, ruptured
  • I71.33Infrarenal abdominal aortic aneurysm, ruptured
  • I71.40Abdominal aortic aneurysm, without rupture, unspecified
  • I71.41Pararenal abdominal aortic aneurysm, without rupture
  • I71.42Juxtarenal abdominal aortic aneurysm, without rupture
  • I71.43Infrarenal abdominal aortic aneurysm, without rupture
  • I71.50Thoracoabdominal aortic aneurysm, ruptured, unspecified
  • I71.51Supraceliac aneurysm of the thoracoabdominal aorta, ruptured
  • I71.52Paravisceral aneurysm of the thoracoabdominal aorta, ruptured
  • I71.60Thoracoabdominal aortic aneurysm, without rupture, unspecified
  • I71.61Supraceliac aneurysm of the thoracoabdominal aorta, without rupture
  • I71.62Paravisceral aneurysm of the thoracoabdominal aorta, without rupture
  • I79.0Aneurysm of aorta in diseases classified elsewhere
  • I97.0Postcardiotomy syndrome
  • I97.110Postprocedural cardiac insufficiency following cardiac surgery
  • I97.111Postprocedural cardiac insufficiency following other surgery
  • I97.120Postprocedural cardiac arrest following cardiac surgery
  • I97.121Postprocedural cardiac arrest following other surgery
  • I97.130Postprocedural heart failure following cardiac surgery
  • I97.131Postprocedural heart failure following other surgery
  • I97.190Other postprocedural cardiac functional disturbances following cardiac surgery
  • I97.191Other postprocedural cardiac functional disturbances following other surgery
  • M79.601Pain in right arm
  • M79.602Pain in left arm
  • Q20.0Common arterial trunk
  • Q20.1Double outlet right ventricle
  • Q20.2Double outlet left ventricle
  • Q20.3Discordant ventriculoarterial connection
  • Q20.4Double inlet ventricle
  • Q20.5Discordant atrioventricular connection
  • Q20.6Isomerism of atrial appendages
  • Q20.8Other congenital malformations of cardiac chambers and connections
  • Q21.0Ventricular septal defect
  • Q21.10Atrial septal defect, unspecified
  • Q21.11Secundum atrial septal defect
  • Q21.12Patent foramen ovale
  • Q21.13Coronary sinus atrial septal defect
  • Q21.14Superior sinus venosus atrial septal defect
  • Q21.15Inferior sinus venosus atrial septal defect
  • Q21.16Sinus venosus atrial septal defect, unspecified
  • Q21.19Other specified atrial septal defect
  • Q21.20Atrioventricular septal defect, unspecified as to partial or complete
  • Q21.21Partial atrioventricular septal defect
  • Q21.22Transitional atrioventricular septal defect
  • Q21.23Complete atrioventricular septal defect
  • Q21.3Tetralogy of Fallot
  • Q21.4Aortopulmonary septal defect
  • Q21.8Other congenital malformations of cardiac septa
  • Q22.0Pulmonary valve atresia
  • Q22.1Congenital pulmonary valve stenosis
  • Q22.2Congenital pulmonary valve insufficiency
  • Q22.3Other congenital malformations of pulmonary valve
  • Q22.4Congenital tricuspid stenosis
  • Q22.5Ebstein's anomaly
  • Q22.8Other congenital malformations of tricuspid valve
  • Q23.0Congenital stenosis of aortic valve
  • Q23.1Congenital insufficiency of aortic valve
  • Q23.2Congenital mitral stenosis
  • Q23.3Congenital mitral insufficiency
  • Q24.0Dextrocardia
  • Q24.1Levocardia
  • Q24.2Cor triatriatum
  • Q24.3Pulmonary infundibular stenosis
  • Q24.4Congenital subaortic stenosis
  • Q24.5Malformation of coronary vessels
  • Q24.6Congenital heart block
  • Q24.8Other specified congenital malformations of heart
  • R00.0Tachycardia, unspecified
  • R00.1Bradycardia, unspecified
  • R00.2Palpitations
  • R06.00Dyspnea, unspecified
  • R06.01Orthopnea
  • R06.02Shortness of breath
  • R06.09Other forms of dyspnea
  • R06.89Other abnormalities of breathing
  • R07.2Precordial pain
  • R07.81Pleurodynia
  • R07.82Intercostal pain
  • R07.89Other chest pain
  • R07.9Chest pain, unspecified
  • R55Syncope and collapse
  • R68.84Jaw pain
  • R93.1Abnormal findings on diagnostic imaging of heart and coronary circulation
  • R94.30Abnormal result of cardiovascular function study, unspecified
  • R94.31Abnormal electrocardiogram [ECG] [EKG]
  • R94.39Abnormal result of other cardiovascular function study
  • T46.991APoisoning by other agents primarily affecting the cardiovascular system, accidental (unintentional), initial encounter
  • T46.991DPoisoning by other agents primarily affecting the cardiovascular system, accidental (unintentional), subsequent encounter
  • T46.991SPoisoning by other agents primarily affecting the cardiovascular system, accidental (unintentional), sequela
  • T46.992APoisoning by other agents primarily affecting the cardiovascular system, intentional self-harm, initial encounter
  • T46.992DPoisoning by other agents primarily affecting the cardiovascular system, intentional self-harm, subsequent encounter
  • T46.992SPoisoning by other agents primarily affecting the cardiovascular system, intentional self-harm, sequela
  • T46.993APoisoning by other agents primarily affecting the cardiovascular system, assault, initial encounter
  • T46.993DPoisoning by other agents primarily affecting the cardiovascular system, assault, subsequent encounter
  • T46.993SPoisoning by other agents primarily affecting the cardiovascular system, assault, sequela
  • T46.994APoisoning by other agents primarily affecting the cardiovascular system, undetermined, initial encounter
  • T46.994DPoisoning by other agents primarily affecting the cardiovascular system, undetermined, subsequent encounter
  • T46.994SPoisoning by other agents primarily affecting the cardiovascular system, undetermined, sequela
  • T86.21Heart transplant rejection
  • T86.22Heart transplant failure
  • T86.23Heart transplant infection
  • T86.290Cardiac allograft vasculopathy
  • T86.298Other complications of heart transplant
  • T86.31Heart-lung transplant rejection
  • T86.32Heart-lung transplant failure
  • T86.33Heart-lung transplant infection
  • T86.39Other complications of heart-lung transplant
  • T86.5Complications of stem cell transplant
  • Z01.810Encounter for preprocedural cardiovascular examination
  • Z08Encounter for follow-up examination after completed treatment for malignant neoplasm
  • Z09Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
  • Z48.21Encounter for aftercare following heart transplant
  • Z48.280Encounter for aftercare following heart-lung transplant
  • Z79.85Long-term (current) use of injectable non-insulin antidiabetic drugs
  • Z79.899Other long term (current) drug therapy
  • Z94.1Heart transplant status
  • Z94.3Heart and lungs transplant status

* The article sets additional coding requirements for these codes (for example, a second diagnosis). Read them on the CMS article.

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