ICD-10 Code I21.29 – ST elevation (STEMI) myocardial infarction involving other sites (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for ST elevation (STEMI) myocardial infarction involving other sites is I21.29.
2026 ICD-10-CM Diagnosis Code I21.29 – ST elevation (STEMI) myocardial infarction involving other sites

What it is

This code identifies an acute ST-elevation myocardial infarction affecting cardiac sites other than the common locations named in more specific STEMI codes. Use it when the record clearly documents STEMI involving “other sites.”

Clinical signs

Typical findings include acute chest pain or ischemic equivalents with ECG evidence of ST elevation consistent with myocardial infarction. Clinical features vary; refer to documentation.

When to use this code

Use I21.29 when the provider documents a STEMI and specifies involvement of other sites, without a more precise site code. It also fits when the diagnosis is confirmed and the location is clearly described as “other.” Check documentation if the infarct site is uncertain.

Do not use for

Do not use this code for NSTEMI, old myocardial infarction, or unspecified acute MI. If the record names a different STEMI site, code that more specific category instead.

Coding tip

Code the exact infarct site from the provider’s documentation and query if “other sites” is vague.

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