I21.2 Non-Billable FY2027 Status: Active

I21.2: ST elevation (STEMI) myocardial infarction of other sites

ST elevation (STEMI) myocardial infarction of other sites

Effective Date: 2026-10-01
Dataset: ICD-10-CM FY2027
Source: Centers for Disease Control and Prevention (CDC)
Last Verified: 2026-10-01
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Quick Clinical & Billing Summary

What is ICD-10-CM code I21.2? I21.2 represents ST elevation (STEMI) myocardial infarction of other sites. Under official CDC guidelines, this code is non-billable and requires additional specificity.

Current release: FY2027 (Effective October 1, 2026). Sourced directly from CDC NCHS files.

Code Hierarchy & Classification

⌊ Category I21: Acute myocardial infarction
⌊ I21.2: ST elevation (STEMI) myocardial infarction of other sites (Current Code)

Clinical Guidance & Documentation Standards

Clinical documentation should substantiate the medical necessity of this diagnosis, including laterality, anatomical site specificity, and clinical severity.

Associated Procedures & Medicare RVU Reimbursement

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Typical outpatient and office evaluation procedures frequently billed alongside diagnosis I21.2:

CPT/HCPCS Description Work RVU Non-Facility Fee Facility Fee
99213 Office/outpatient visit, established patient, 20-29 minutes (Low MDM) 1.30 $91.69 $66.79
99214 Office/outpatient visit, established patient, 30-39 minutes (Moderate MDM) 1.92 $133.61 $100.21
96372 Therapeutic, prophylactic, or diagnostic injection (subcutaneous/intramuscular) 0.17 $18.34 $12.44
Based on official CMS 2026 Physician Fee Schedule conversion factor ($32.7476). Payments vary by locality GPCI.

CPT Modifier & Billing Rules

Modifier 25 Significant E/M

Append when a significant, separately identifiable evaluation and management service is provided on the same calendar day as a minor surgical procedure or injection.

Modifier 59 Distinct Service

Identifies procedures or services not normally reported together but distinct under the clinical circumstances. Use CMS X-modifiers (XE, XS, XP, XU) where required by Medicare.

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Frequently Asked Questions about I21.2

Is I21.2 a billable ICD-10 code?

No, I21.2 is a non-billable category code that requires additional digits to specify clinical details.

What is the ICD-10 code for ST elevation (STEMI) myocardial infarction of other sites?

The primary ICD-10-CM code for ST elevation (STEMI) myocardial infarction of other sites is I21.2.

What is the effective date of the current I21.2 code?

The code is active for fiscal year FY2027, effective starting 2026-10-01.

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Official Provenance: Sourced from CDC / NCHS FY2027 ICD-10-CM files. Report a Data Error
Verified: 2026-10-01