I42
Non-Billable

Cardiomyopathy

Non-Billable / Non-Specific Code

What is Cardiomyopathy?

ICD-10-CM I42 is the diagnosis code for Cardiomyopathy. This code falls under the section "Other forms of heart disease" 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.

â„šī¸ Excludes2

Coding Guidelines for I42

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in I42. If the patient has both, code each condition separately:

  • ischemic cardiomyopathy (I25.5)
  • peripartum cardiomyopathy (O90.3)
  • ventricular hypertrophy (I51.7)

ICD-10-CM Code Hierarchy

Understanding where I42 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 10 entries
I42.0Dilated cardiomyopathyBillableI42.1Obstructive hypertrophic cardiomyopathyBillableI42.2Other hypertrophic cardiomyopathyBillableI42.3Endomyocardial (eosinophilic) diseaseBillableI42.4Endocardial fibroelastosisBillableI42.5Other restrictive cardiomyopathyBillableI42.6Alcoholic cardiomyopathyBillableI42.7Cardiomyopathy due to drug and external agentBillableI42.8Other cardiomyopathiesBillableI42.9Cardiomyopathy, unspecifiedBillable
Related Codes

Frequently Asked Questions

Is I42 a billable ICD-10-CM code?

No, I42 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does I42 mean?

I42 is the ICD-10-CM diagnosis code for "Cardiomyopathy". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is I42 in?

I42 is located in Section I30-I5A — "Other forms of heart disease" within Chapter 9 of the ICD-10-CM Tabular List.

What are the sub-codes of I42?

I42 has 10 sub-code(s) that provide more specific detail: I42.0, I42.1, I42.2, I42.3, I42.4 and more.

When should I use I42?

Use I42 when the patients documented diagnosis matches "Cardiomyopathy" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Cardiomyopathy?

The ICD-10-CM code for Cardiomyopathy is I42.

Can I42 be used for primary diagnosis?

No, I42 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is I42 in?

I42 is in Chapter 9 of the ICD-10-CM Tabular List.

Is I42 valid for 2026?

Yes, I42 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousI41Myocarditis in diseases classified elsewhereNext →I42.0Dilated cardiomyopathy
Code Details
I42
Cardiomyopathy
Non-Billable / Non-Specific Code
9 — Diseases of the circulatory system (I00-I99)
I30-I5A — Other forms of heart disease
2026 ICD-10-CM