Guidelines › Subsequent acute myocardial infarction

Subsequent acute myocardial infarction

Official text from the FY2027 ICD-10-CM Official Guidelines for Coding and Reporting. The wording is quoted exactly.

Guidelines I.C.9.e.4

“Do not assign code I22 for subsequent myocardial infarctions other than type 1 or unspecified. For subsequent type 2 AMI assign only code I21.A1. For subsequent type 4 or type 5 AMI, assign only code I21.A9.”

“Codes from category I22 should only be assigned if both the initial and subsequent myocardial infarctions are type 1 or unspecified.”

Where this applies

7 billable codes. Source: FY 2027 ICD-10-CM Official Guidelines for Coding and Reporting, effective October 1, 2026. Full Guidelines (PDF, CMS)

The Guidelines are the authority for assigning codes, and following them is required under HIPAA. This page quotes them for convenience and is not a substitute for the official document. See the Terms and Disclaimer.