I97.110Postprocedural cardiac insufficiency following cardiac surgery

I97.110 is the ICD-10-CM diagnosis code for postprocedural cardiac insufficiency following cardiac surgery. It belongs to category I97 (intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classified), block I95-I99 (other and unspecified disorders of the circulatory system) and chapter 9 (diseases of the circulatory system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within I97.11 (postprocedural cardiac insufficiency), I97.110 is specifically for postprocedural cardiac insufficiency following cardiac surgery. Related codes cover following other surgery (I97.111).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 314 (Other Circulatory System Diagnoses with MCC, relative weight 2.0873), DRG 315 (Other Circulatory System Diagnoses with CC, relative weight 0.9508), DRG 316 (Other Circulatory System Diagnoses without CC/MCC, relative weight 0.6677), DRG 791 (Prematurity with Major Problems, relative weight 4.1075) and DRG 793 (Full Term Neonate with Major Problems, relative weight 4.2195), in MDC 05 (Diseases and Disorders of the Circulatory System) and MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 429.4 (functional disturbances following cardiac surgery), 429.4 (functional disturbances following cardiac surgery) and 997.1 (cardiac complications, not elsewhere classified).