ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 I00

Billable / Specific

Rheumatic fever without heart involvement

I00
Block
0
Synonyms
6
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM I00

ICD-10-CM code I00 represents Rheumatic fever without heart involvement. This is a billable/specific code in the Circulatory System chapter (block I00). The 2026 edition of ICD-10-CM I00 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with I00. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • rheumatic fever with heart involvement (I01.0 -I01.9)

Includes

  • arthritis, rheumatic, acute or subacute

Medicare LCD Coverage for I00

Local Coverage Determinations (LCDs) from CMS MACs that list I00 as a covered diagnosis.

6 LCDs

Showing top 6. Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Electrocardiograms
Article ID: 57326, Effective: 2025-11-06 00:00:00, 2736 covered, 0 non-covered
CPT 93000 →
CMS LCD: Billing and Coding: Electrocardiograms
Article ID: 57326, Effective: 2025-11-06 00:00:00, 2736 covered, 0 non-covered
CPT 93041 →
CMS LCD: Billing and Coding: Electrocardiograms
Article ID: 57326, Effective: 2025-11-06 00:00:00, 2736 covered, 0 non-covered
CPT 93040 →
CMS LCD: Billing and Coding: Electrocardiograms
Article ID: 57326, Effective: 2025-11-06 00:00:00, 2736 covered, 0 non-covered
CPT 93042 →
CMS LCD: Billing and Coding: Electrocardiograms
Article ID: 57326, Effective: 2025-11-06 00:00:00, 2736 covered, 0 non-covered
CPT 93005 →
CMS LCD: Billing and Coding: Electrocardiograms
Article ID: 57326, Effective: 2025-11-06 00:00:00, 2736 covered, 0 non-covered
CPT 93010 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I00.

1 policies

1 Medicare

Billing and Coding: Electrocardiograms
Policy ID: ART-57326

CPT Codes Commonly Billed with I00

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for I00

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert I00 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
I00 390 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 I00, Billing FAQ

Is ICD-10 code I00 billable? +

Yes, I00 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for I00? +

Type 1 Excludes (never code together with I00): rheumatic fever with heart involvement (I01.0 -I01.9)

What ICD-9 codes does I00 map to? +

Per CMS GEMs, I00 maps to ICD-9 codes: 390. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 2, 2026.

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