New code · FY2026
Billable: use this code on claims.
- New code, effective October 1, 2025 (FY2026).
Code breakdown
I27.841
- I27CategoryOther pulmonary heart diseases
- 8Character 4Other specified pulmonary heart diseases
- 4Character 5Fontan related circulation
- 1Character 6Fontan-associated lymphatic dysfunction
Coding notes
Code also
- associated conditions such as:
- chylothorax (J94.0)
- Fontan associated protein-losing enteropathy (K90.49)
- plastic (obstructive) bronchitis (J44.89)
Medicare coverage
I27.841 is listed as a covered diagnosis in 14 Medicare billing and coding articles:
- A56476 Billing and Coding: Cardiac Radionuclide Imaging
- A56500 Billing and Coding: Cardiac Catheterization and Coronary Angiography
- A56580 Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56625 Billing and Coding: Echocardiography
- A56691 Billing and Coding: Cardiac Computed Tomography & Angiography (CCTA)
- A56717 Billing and Coding: Respiratory Therapy (Respiratory Care)
- A56730 Billing and Coding: Respiratory Therapy and Oximetry Services
- A56775 Billing and Coding: Magnetic Resonance Angiography
- A56852 Billing and Coding: Laparoscopic Sleeve Gastrectomy for Severe Obesity
- A57224 Billing and Coding: Respiratory Care
…and 4 more. Check the coverage tool for your CPT code.
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ICD-10-CM codes and descriptions are from the CMS and NCHS code files. Coverage is from the CMS Medicare Coverage Database billing and coding articles.