ICDcodes.org
FY2027

I51.1 — Rupture of chordae tendineae, not elsewhere classified

BillableUnspecifiedMCC

Is I51.1 billable?

Yes, but I51.1 is an unspecified code. I51.1 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, I51.1 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting I51.1 — the more specific alternatives are listed below.

I51.1 at a glance

CodeI51.1
DescriptionRupture of chordae tendineae, not elsewhere classified
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does I51.1 group to?

I51.1 sits in MDC 05 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 306Cardiac Congenital and Valvular Disorders with MCCmedical
  • 307Cardiac Congenital and Valvular Disorders without MCCmedical

As a secondary diagnosis, I51.1 is a major complication or comorbidity (MCC), which can move a stay into a higher-paying DRG.

How is I51.1 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to I51.1. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Laceration › chordae tendinae NEC
  • Rupture, ruptured › chordae tendineae NEC

Excludes1 — never code together

The conditions below can never be reported together with I51.1 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • rupture of chordae tendineae as current complication following acute myocardial infarction (I23.4)

Excludes2 — not included here — inherited from Chapter 9

The conditions below are not part of I51.1, but a patient may have both at the same time. When documentation supports it, I51.1 and the excluded code may both be reported.

  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • systemic connective tissue disorders (M30-M36)
  • transient cerebral ischemic attacks and related syndromes (G45.-)

Excludes2 — not included here — inherited from I51

The conditions below are not part of I51.1, but a patient may have both at the same time. When documentation supports it, I51.1 and the excluded code may both be reported.

  • heart disease specified as rheumatic (I00-I09)

How long has I51.1 existed?

I51.1 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which codes are confused with I51.1?

ICD-10-CM declares these codes mutually exclusive with I51.1 — exactly one of each pair can be correct for a given encounter.

What other codes are in the I51 family? (8)