I22

Subsequent ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction

Non-billable header

I22 is a non-billable header code. Use one of the more specific codes below.

Inclusion terms

Includes

  • acute myocardial infarction occurring within four weeks (28 days) of a previous acute myocardial infarction, regardless of site
  • cardiac infarction
  • coronary (artery) embolism
  • coronary (artery) occlusion
  • coronary (artery) rupture
  • coronary (artery) thrombosis
  • infarction of heart, myocardium, or ventricle
  • recurrent myocardial infarction
  • reinfarction of myocardium
  • rupture of heart, myocardium, or ventricle
  • subsequent type 1 myocardial infarction

Excludes1

Not coded here — never report together with this code.

  • subsequent myocardial infarction, type 2 (I21.A1)
  • subsequent myocardial infarction of other type (type 3) (type 4) (type 5) (I21.A9)

Excludes2

Not included here — may be reported together when both conditions exist.

  • 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.-)

Use additional code

Add a code to identify the following, if applicable.

  • code, if applicable, to identify:
  • exposure to environmental tobacco smoke (Z77.22)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility (Z92.82)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Code also

An additional code may be needed.

  • the presence of hypertension (I10-I1A)

More specific codes I22

  • I22.0Subsequent ST elevation (STEMI) myocardial infarction of anterior wallBillable
  • I22.1Subsequent ST elevation (STEMI) myocardial infarction of inferior wallBillable
  • I22.2Subsequent non-ST elevation (NSTEMI) myocardial infarctionBillable
  • I22.8Subsequent ST elevation (STEMI) myocardial infarction of other sitesBillable
  • I22.9Subsequent ST elevation (STEMI) myocardial infarction of unspecified siteBillable

Related codes

  • I20Angina pectorisHeader
  • I21Acute myocardial infarctionHeader
  • I23Certain current complications following ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction (within the 28 day period)Header
  • I24Other acute ischemic heart diseasesHeader
  • I25Chronic ischemic heart diseaseHeader

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