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

ICD-10 I5A

Billable / Specific

Non-ischemic myocardial injury (non-traumatic)

I5A
Block
3
Synonyms
210
LCDs
10
Payer Policies
44
Linked CPTs

About ICD-10-CM I5A

ICD-10-CM code I5A represents Non-ischemic myocardial injury (non-traumatic). This is a billable/specific code in the Circulatory System chapter (block I5A). The 2026 edition of ICD-10-CM I5A became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under I5A. Per CMS ICD-10-CM Tabular 2026.

  • Acute (non-ischemic) myocardial injury
  • Chronic (non-ischemic) myocardial injury
  • Unspecified (non-ischemic) myocardial injury

Type 1 Excludes

Pure excludes, these codes can never be coded together with I5A. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • acute myocardial infarction (I21.-)
  • injury of heart (S26.-)

Type 2 Excludes

Not included here, the excluded code is not part of I5A, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • other acute ischemic heart diseases (I24.-)

Coding Notes

Code First

  • the underlying cause, if known and applicable, such as:
  • acute kidney failure (N17.-)
  • acute myocarditis (I40.-)
  • cardiomyopathy (I42.-)
  • chronic kidney disease (CKD) (N18.-)
  • heart failure (I50.-)
  • hypertensive urgency (I16.0)
  • nonrheumatic aortic valve disorders (I35.-)
  • paroxysmal tachycardia (I47.-)
  • pulmonary embolism (I26.-)
  • pulmonary hypertension (I27.0, I27.2-)
  • sepsis (A41.-)
  • takotsubo syndrome (I51.81)

Medicare LCD Coverage for I5A

Local Coverage Determinations (LCDs) from CMS MACs that list I5A as a covered diagnosis.

210 LCDs

Showing top 10 of 210 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93270 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93298 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93225 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93271 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93246 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93272 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93242 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93228 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 0938T →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 0937T →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I5A.

10 policies

5 Medicare

Billing and Coding: Frequency and Duration for Cardiac Rehabilitation and Intensive Cardiac Rehabilitation
Policy ID: ART-53775
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56326
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56340
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56343
Billing and Coding: Implantable Automatic Defibrillators
Policy ID: ART-56391

CPT Codes Commonly Billed with I5A

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

44 linkages
  • G0448 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33216 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33230 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33244 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33264 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33263 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33220 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33224 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33270 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD
  • 33272 CMS LCD: Billing and Coding: Implantable Automatic Defibrillators CMS LCD

ICD-10 I5A, Billing FAQ

Is ICD-10 code I5A billable? +

Yes, I5A 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 I5A? +

ICD-10 I5A includes: Acute (non-ischemic) myocardial injury; Chronic (non-ischemic) myocardial injury; Unspecified (non-ischemic) myocardial injury.

What codes are Type 1 Excludes for I5A? +

Type 1 Excludes (never code together with I5A): acute myocardial infarction (I21.-); injury of heart (S26.-)

What codes are Type 2 Excludes for I5A? +

Type 2 Excludes (may be coded together when both conditions exist): other acute ischemic heart diseases (I24.-)

What CPT codes are commonly billed with I5A? +

Procedures frequently paired with I5A include: G0448, 33216, 33230, 33244, 33264.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 17, 2026.

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