ICD-10-CM I27: Other pulmonary heart diseases

ICD-10-CM Diagnosis Code (2025)

Official Description for I27

Other pulmonary heart diseases

Coding Notes & Guidelines for I27

Excludes1: Not Coded Here
  • persistent pulmonary hypertension of newborn (P29.30)
  • pulmonary hypertension NOS (I27.20)
  • secondary pulmonary arterial hypertension (I27.21)
  • secondary pulmonary hypertension (I27.29)
Excludes1: Not Coded Here

Eisenmenger's syndrome (I27.83)

Excludes1: Not Coded Here

acute cor pulmonale (I26.0-)

Excludes1: Not Coded Here

personal history of pulmonary embolism (Z86.711)

Use Additional Code

code, if applicable, for associated long-term (current) use of anticoagulants (Z79.01)

Inclusion Terms
  • Heritable pulmonary arterial hypertension
  • Idiopathic pulmonary arterial hypertension
  • Primary group 1 pulmonary hypertension
  • Primary pulmonary arterial hypertension
Inclusion Terms

Pulmonary hypertension NOS

Inclusion Terms
  • (Associated) (drug-induced) (toxin-induced) pulmonary arterial hypertension NOS
  • (Associated) (drug-induced) (toxin-induced) (secondary) group 1 pulmonary hypertension
Inclusion Terms

Group 2 pulmonary hypertension

Inclusion Terms

Group 3 pulmonary hypertension

Inclusion Terms

Group 4 pulmonary hypertension

Inclusion Terms
  • Group 5 pulmonary hypertension
  • Pulmonary hypertension with unclear multifactorial mechanisms
  • Pulmonary hypertension due to hematologic disorders
  • Pulmonary hypertension due to metabolic disorders
  • Pulmonary hypertension due to other systemic disorders
Inclusion Terms

Cor pulmonale NOS

Inclusion Terms
  • Eisenmenger's complex
  • (Irreversible) Eisenmenger's disease
  • Pulmonary hypertension with right to left shunt related to congenital heart disease
Inclusion Terms

Chronic cardiopulmonary disease

Code Also

associated underlying condition

Code Also
  • associated conditions if applicable, or adverse effects of drugs or toxins, such as:
  • adverse effect of appetite depressants (T50.5X5)
  • congenital heart disease (Q20-Q28)
  • human immunodeficiency virus [HIV] disease (B20)
  • polymyositis (M33.2-)
  • portal hypertension (K76.6)
  • rheumatoid arthritis (M05.-)
  • schistosomiasis (B65.-)
  • Sjögren syndrome (M35.0-)
  • systemic sclerosis (M34.-)
Code Also
  • associated left heart disease, if known, such as:
  • multiple valve disease (I08.-)
  • rheumatic mitral valve diseases (I05.-)
  • rheumatic aortic valve diseases (I06.-)
Code Also
  • associated lung disease, if known, such as:
  • bronchiectasis (J47.-)
  • cystic fibrosis with pulmonary manifestations (E84.0)
  • interstitial lung disease (J84.-)
  • pleural effusion (J90)
  • sleep apnea (G47.3-)
Code Also

associated pulmonary embolism, if applicable (I26.-, I27.82)

Code Also
  • other associated disorders, if known, such as:
  • chronic myeloid leukemia (C92.10-C92.22)
  • essential thrombocythemia (D47.3)
  • Gaucher disease (E75.22)
  • hypertensive chronic kidney disease with end stage renal disease (I12.0, I13.11, I13.2)
  • hyperthyroidism (E05.-)
  • hypothyroidism (E00-E03)
  • polycythemia vera (D45)
  • sarcoidosis (D86.-)
Code Also

, if applicable, right heart failure (I50.81-)

Code Also
  • underlying heart defect, if known, such as:
  • atrial septal defect (Q21.1-)
  • Eisenmenger's defect (Q21.8)
  • patent ductus arteriosus (Q25.0)
  • ventricular septal defect (Q21.0)

Child Codes (More Specific Codes for I27):

About ICD-10-CM Code I27 (Other pulmonary heart diseases)

ICD-10-CM code I27 is a billable or specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM I27 became effective on October 1, 2024.

This page provides detailed information about I27 - Other pulmonary heart diseases. It includes common terminology, coding guidelines such as "Includes," "Excludes1," and "Excludes2" notes, and information on required 7th characters. Utilizing this information correctly is essential for accurate medical coding and claims submission for conditions like Other pulmonary heart diseases.