ICD-10 Code for Insufficiency

The ICD-10-CM 2027 alphabetic index lists insufficiency, insufficient with the subterms below. More specific codes depend on the details documented, as listed in the official index (96 codes, 91 billable).

Index entries for Insufficiency

accommodation, old age – H52.4
adrenal (gland) – E27.40
- primary – E27.1
adrenocortical – E27.40
- drug-induced – E27.3
- iatrogenic – E27.3
- primary – E27.1
anatomic crown height – K08.89
anterior (occlusal) – M26.54
anus – K62.89
aortic (valve) – I35.1
- with
  - mitral (valve) – I08.0
    - with tricuspid (valve) – I08.3
  - stenosis – I35.2
  - tricuspid (valve) – I08.2
    - with mitral (valve) – I08.3
- congenital – Q23.1
- rheumatic – I06.1
  - with
    - mitral (valve) – I08.0
      - with tricuspid (valve) – I08.3
    - stenosis – I06.2
      - with mitral (valve) – I08.0
        with tricuspid (valve) – I08.3
    - tricuspid (valve) – I08.2
      - with mitral (valve) – I08.3
- specified cause NEC – I35.1
- syphilitic – A52.03
arterial – I77.1
- basilar – G45.0
- carotid (hemispheric) – G45.1
- cerebral – I67.81
- coronary (acute or subacute) – I24.89
- mesenteric – K55.1
- peripheral – I73.9
- precerebral (multiple) (bilateral) – G45.2
- vertebral – G45.0
arteriovenous – I99.8
biliary – K83.8
cardiac – see also Insufficiency, myocardial
- due to presence of (cardiac) – I97.11- (header)
- postprocedural – I97.11- (header)
cardiorenal, hypertensive – I13.2
cardiovascular – see Disease, cardiovascular
cerebrovascular (acute) – I67.81
- with transient focal neurological signs and symptoms – G45.8
circulatory NEC – I99.8
- newborn – P29.89
clinical crown length – K08.89
convergence – H51.11
coronary (acute or subacute) – I24.89
- chronic or with a stated duration of over 4 weeks – I25.89
corticoadrenal – E27.40
- primary – E27.1
dietary – E63.9
divergence – H51.8
food – T73.0 (header)
gastroesophageal – K22.89
gonadal
- ovary – E28.39
- testis – E29.1
health insurance coverage – Z59.71
heart – see also Insufficiency, myocardial
- newborn – P29.0
- valve – see Endocarditis
hepatic – see Failure, hepatic
idiopathic autonomic – G90.09
interocclusal distance of fully erupted teeth (ridge) – M26.36
kidney – N28.9
- acute – N28.9
- chronic – N18.9
lacrimal (secretion) – H04.12- (header)
- passages – see Stenosis, lacrimal
liver – see Failure, hepatic
lung – see Insufficiency, pulmonary
mental (congenital) – see Disability, intellectual
mesenteric – K55.1
mitral (valve) – I34.0
- with
  - aortic valve disease – I08.0
    - with tricuspid (valve) – I08.3
  - obstruction or stenosis – I05.2
    - with aortic valve disease – I08.0
  - tricuspid (valve) – I08.1
    - with aortic (valve) – I08.3
- congenital – Q23.3
- rheumatic – I05.1
  - with
    - aortic valve disease – I08.0
      - with tricuspid (valve) – I08.3
    - obstruction or stenosis – I05.2
      - with aortic valve disease – I08.0
        with tricuspid (valve) – I08.3
    - tricuspid (valve) – I08.1
      - with aortic (valve) – I08.3
  - active or acute – I01.1
    - with chorea, rheumatic (Sydenham's) – I02.0
- specified cause, except rheumatic – I34.0
muscle – see also Disease, muscle
- heart – see Insufficiency, myocardial
- ocular NEC – H50.9
myocardial, myocardium (with arteriosclerosis) – I50.9 – see also Failure, heart
- with
  - rheumatic fever (conditions in I00) – I09.0
    - active, acute or subacute – I01.2
      - with chorea – I02.0
    - inactive or quiescent (with chorea) – I09.0
- congenital – Q24.8
- hypertensive – see Hypertension, heart
- newborn – P29.0
- rheumatic – I09.0
  - active, acute, or subacute – I01.2
- syphilitic – A52.06
nourishment – T73.0 (header) – see also Nutrition deficient
pancreatic – K86.89
- exocrine – K86.81
parathyroid (gland) – E20.9
peripheral vascular (arterial) – I73.9
pituitary – E23.0
placental (mother) – O36.51- (header)
platelets – D69.6
prenatal care affecting management of pregnancy – O09.3- (header)
progressive pluriglandular – E31.0
pulmonary – J98.4
- acute, following surgery (nonthoracic) – J95.2
  - thoracic – J95.1
- chronic, following surgery – J95.3
- following
  - shock – J98.4
  - trauma – J98.4
- newborn – P28.89
- valve – I37.1
  - with stenosis – I37.2
  - congenital – Q22.2
  - rheumatic – I09.89
    - with aortic, mitral or tricuspid (valve) – I08.8
pyloric – K31.89
renal (acute) – N28.9
- chronic – N18.9
respiratory – R06.89
- newborn – P28.5
rotation – see Malrotation
sleep syndrome – F51.12
social insurance – Z59.71
suprarenal – E27.40
- primary – E27.1
tarso-orbital fascia, congenital – Q10.3
testis – E29.1
thyroid (gland) (acquired) – E03.9
- congenital – E03.1
tricuspid (valve) (rheumatic) – I07.1
- with
  - aortic (valve) – I08.2
    - with mitral (valve) – I08.3
  - mitral (valve) – I08.1
    - with aortic (valve) – I08.3
  - obstruction or stenosis – I07.2
    - with aortic (valve) – I08.2
      - with mitral (valve) – I08.3
- congenital – Q22.8
- nonrheumatic – I36.1
  - with stenosis – I36.2
urethral sphincter – R32
valve, valvular (heart) – I38
- aortic – see Insufficiency, aortic (valve)
- mitral – see Insufficiency, mitral (valve)
- pulmonary – see Insufficiency, pulmonary, valve
- tricuspid – see Insufficiency, tricuspid (valve)
- congenital – Q24.8
vascular – I99.8
- intestine – K55.9
  - acute – K55.059 – see also Ischemia, intestine, acute
- mesenteric – K55.1
- peripheral – I73.9
- renal – see Hypertension, kidney
velopharyngeal
- acquired – K13.79
- congenital – Q38.8
venous (chronic) (peripheral) – I87.2
ventricular – see Insufficiency, myocardial
welfare support – Z59.72

How to choose the right code

Start with the main term, then pick the indented subterm that matches the documentation (type, cause, site, laterality, episode of care). Always confirm the code in the tabular list: follow its Excludes1/Excludes2, “code first” and “use additional code” notes, and add a 7th character where required.

Source: CDC/NCHS ICD-10-CM FY2027 alphabetic index.