ICD-10 Code I42.0 – Dilated cardiomyopathy (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Dilated cardiomyopathy is I42.0.
2026 ICD-10-CM Diagnosis Code I42.0 – Dilated cardiomyopathy

What it is

Dilated cardiomyopathy is a disease of the heart muscle that causes the ventricles to enlarge and pump less effectively. Use this code when documentation identifies dilated cardiomyopathy without a more specific cause.

Clinical signs

Common findings include reduced systolic function, chamber enlargement, and symptoms of heart failure such as dyspnea, fatigue, or edema. Clinical features vary; refer to documentation.

When to use this code

Use I42.0 when the record clearly documents dilated cardiomyopathy as the diagnosis. It is appropriate for encounters focused on evaluation, monitoring, or management of this cardiomyopathy when no alternative subtype is specified. Check documentation if the cause is stated.

Do not use for

Do not use this code for cardiomyopathy with a documented specific etiology or for other cardiomyopathy types. If the note only says “heart failure” or “cardiac enlargement,” confirm whether dilated cardiomyopathy is actually documented.

Coding tip

Verify whether the provider documents an underlying cause or a different cardiomyopathy type before assigning I42.0.

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *