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

ICD-10 I51.7

Billable / Specific

Cardiomegaly

I51
Block
3
Synonyms
298
LCDs
16
Payer Policies
0
Linked CPTs

About ICD-10-CM I51.7

ICD-10-CM code I51.7 represents Cardiomegaly. This is a billable/specific code in the Circulatory System chapter (block I51). The 2026 edition of ICD-10-CM I51.7 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under I51.7. Per CMS ICD-10-CM Tabular 2026.

  • Cardiac dilatation
  • Cardiac hypertrophy
  • Ventricular dilatation

Type 1 Excludes

Pure excludes, these codes can never be coded together with I51.7. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • cardiomegaly due to hypertension (I11.-)
  • cardiomegaly due to hypertension and chronic kidney disease (I13.-)

Medicare LCD Coverage for I51.7

Local Coverage Determinations (LCDs) from CMS MACs that list I51.7 as a covered diagnosis.

298 LCDs

Showing top 10 of 298 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Transesophageal Echocardiography (TEE)
Article ID: 52868, Effective: 2025-01-01 00:00:00, 773 covered, 0 non-covered
CPT 93320 →
CMS LCD: Billing and Coding: Transesophageal Echocardiography (TEE)
Article ID: 52868, Effective: 2025-01-01 00:00:00, 773 covered, 0 non-covered
CPT 93313 →
CMS LCD: Billing and Coding: Transesophageal Echocardiography (TEE)
Article ID: 52868, Effective: 2025-01-01 00:00:00, 773 covered, 0 non-covered
CPT 93312 →
CMS LCD: Billing and Coding: Transesophageal Echocardiography (TEE)
Article ID: 52868, Effective: 2025-01-01 00:00:00, 773 covered, 0 non-covered
CPT 76376 →
CMS LCD: Billing and Coding: Transesophageal Echocardiography (TEE)
Article ID: 52868, Effective: 2025-01-01 00:00:00, 773 covered, 0 non-covered
CPT 93318 →
CMS LCD: Billing and Coding: Transesophageal Echocardiography (TEE)
Article ID: 52868, Effective: 2025-01-01 00:00:00, 773 covered, 0 non-covered
CPT 93317 →
CMS LCD: Billing and Coding: Transesophageal Echocardiography (TEE)
Article ID: 52868, Effective: 2025-01-01 00:00:00, 773 covered, 0 non-covered
CPT 76377 →
CMS LCD: Billing and Coding: Transesophageal Echocardiography (TEE)
Article ID: 52868, Effective: 2025-01-01 00:00:00, 773 covered, 0 non-covered
CPT C8927 →
CMS LCD: Billing and Coding: Transesophageal Echocardiography (TEE)
Article ID: 52868, Effective: 2025-01-01 00:00:00, 773 covered, 0 non-covered
CPT C8925 →
CMS LCD: Billing and Coding: Transesophageal Echocardiography (TEE)
Article ID: 52868, Effective: 2025-01-01 00:00:00, 773 covered, 0 non-covered
CPT 93314 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I51.7.

16 policies

2 Aetna

Color-Flow Doppler Echocardiography and Myocardial Strain Imaging - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0008
Fetal Echocardiography and Magnetocardiography
Policy ID: CPB-0106

2 Cigna

Anesthesia Services for Interventional Pain Management Procedures in an Adult - (0551)
Policy ID: MM_0551
Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510

5 Medicare

Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-52850
Billing and Coding: Transesophageal Echocardiography (TEE)
Policy ID: ART-52868
Billing and Coding: Cardiac Radionuclide Imaging
Policy ID: ART-56476
Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-56500
Billing and Coding: Transesophageal Echocardiography (TEE)
Policy ID: ART-56505

CPT Codes Commonly Billed with I51.7

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

No procedure linkages on file for I51.7

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 I51.7 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
I51.7 4293 00000

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

ICD-10 I51.7, Billing FAQ

Is ICD-10 code I51.7 billable? +

Yes, I51.7 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to I51.7? +

ICD-10 I51.7 includes: Cardiac dilatation; Cardiac hypertrophy; Ventricular dilatation.

What codes are Type 1 Excludes for I51.7? +

Type 1 Excludes (never code together with I51.7): cardiomegaly due to hypertension (I11.-); cardiomegaly due to hypertension and chronic kidney disease (I13.-)

What ICD-9 codes does I51.7 map to? +

Per CMS GEMs, I51.7 maps to ICD-9 codes: 4293. 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 1, 2026.

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