Non-Billable / Non-Specific Code
ICD-10-CM I97.11 is the diagnosis code for Postprocedural cardiac insufficiency. This code falls under the section "Other and unspecified disorders of the circulatory system" within Chapter 9 — Diseases of the circulatory system (I00-I99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.
Understanding where I97.11 sits in the ICD-10-CM classification helps ensure proper coding:
No, I97.11 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
I97.11 is the ICD-10-CM diagnosis code for "Postprocedural cardiac insufficiency". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of I97.11 is I97.1 ("Other postprocedural cardiac functional disturbances"). I97.11 provides a more specific classification within this category.
I97.11 is located in Section I95-I99 — "Other and unspecified disorders of the circulatory system" within Chapter 9 of the ICD-10-CM Tabular List.
I97.11 has 2 sub-code(s) that provide more specific detail: I97.110, I97.111.
Use I97.11 when the patients documented diagnosis matches "Postprocedural cardiac insufficiency" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Postprocedural cardiac insufficiency is I97.11.
No, I97.11 is non-billable. Use a more specific sub-code for primary diagnosis billing.
I97.11 is in Chapter 9 of the ICD-10-CM Tabular List.
Yes, I97.11 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.