Alphabetic Index FY2027

I01.1

Acute rheumatic endocarditis

FY2027Chapter 9: Diseases of the circulatory system/I00–I02 Acute rheumatic fever

BillableComplete code, valid to report
Care settingsHome Health Primary · MMTA - Cardiac and CirculatoryHospital CCIPF Comorbidity · Cardiac Conditions

I01.1 (also written I011) is a billable ICD-10-CM diagnosis code for acute rheumatic endocarditis. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 5 codes in category I01 (Rheumatic fever with heart involvement). The Alphabetic Index lists it under 12 entries. Its coding notes include 1 Excludes1 entry and 10 Excludes2 entries.

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from I01 Rheumatic fever with heart involvement
  • chronic diseases of rheumatic origin (I05-I09) unless rheumatic fever is also present or there is evidence of reactivation or activity of the rheumatic process.

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (10 notes)
Inherited from Chapter 9 Diseases of the circulatory system
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • systemic connective tissue disorders (M30-M36)
  • transient cerebral ischemic attacks and related syndromes (G45.-)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Cardiac and Circulatory clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Hospital CC

Counts as a complication or comorbidity (CC) when reported as a secondary diagnosis on an inpatient claim. It does not count when the principal diagnosis is one of the 78 codes in its exclusion list. Some MS-DRGs also ignore a CC or MCC that defines the DRG.

Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix C

IPF Comorbidity

On the CMS IPF comorbidity list.

Comorbidity categoryFactor
Cardiac Conditions1.04
It counts as a comorbidity when reported as a secondary diagnosis and actively treated during the stay. An IPF receives only one adjustment within a category and can receive adjustments in more than one category.

Source: CMS IPF PPS FY 2027 final rule (CMS-1847-F), Addendum B-3 (comorbidity codes with adjustment factor); effective for discharges on or after October 1, 2026

Inclusion terms

Conditions classified to this code.

This code
  • Any condition in I00 with endocarditis or valvulitis
  • Acute rheumatic valvulitis

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 12 entries