I21 — Acute myocardial infarction
Part of Chapter 9: Diseases of the circulatory system , block Ischemic heart diseases (I20-I25) .
Official Notes
Includes
cardiac infarction
Includes
coronary (artery) embolism
Includes
coronary (artery) occlusion
Includes
coronary (artery) rupture
Includes
coronary (artery) thrombosis
Includes
infarction of heart, myocardium, or ventricle
Includes
myocardial infarction specified as acute or with a stated duration of 4 weeks (28 days) or less from onset
Use Additional Code
code, if applicable, to identify:
Use Additional Code
exposure to environmental tobacco smoke ( Z77.22 )
Use Additional Code
history of tobacco dependence ( Z87.891 )
Use Additional Code
occupational exposure to environmental tobacco smoke ( Z57.31 )
Use Additional Code
status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility ( Z92.82 )
Use Additional Code
tobacco dependence ( F17 .-)
Use Additional Code
tobacco use ( Z72.0 )
Excludes2
old myocardial infarction ( I25.2 )
Excludes2
postmyocardial infarction syndrome ( I24.1 )
Excludes2
subsequent type 1 myocardial infarction ( I22 .-)
Child Codes
- I21.0 ST elevation (STEMI) myocardial infarction of anterior wall Has subcodes
- I21.1 ST elevation (STEMI) myocardial infarction of inferior wall Has subcodes
- I21.2 ST elevation (STEMI) myocardial infarction of other sites Has subcodes
- I21.3 ST elevation (STEMI) myocardial infarction of unspecified site Billable
- I21.4 Non-ST elevation (NSTEMI) myocardial infarction Billable
- I21.9 Acute myocardial infarction, unspecified Billable
- I21.A Other type of myocardial infarction Has subcodes
- I21.B Myocardial infarction with coronary microvascular dysfunction Billable
Referenced By
Official notes on these codes cite I21.
FY 2027 effective October 1, 2026 · CDC NCHS and CMS