PCM · Cardiology
PCM Qualifying Diagnoses
for Cardiology.
27 ICD-10 codes qualify cardiology patients for Principal Care Management (PCM).
Qualifying Codes
ICD-10 codes for cardiology.
Atrial Fibrillation
4 codesParoxysmal atrial fibrillation
Paroxysmal atrial fibrillation
Persistent atrial fibrillation
Persistent atrial fibrillation
Chronic atrial fibrillation
Pulse oximetry or ECG-capable BP cuffs for rate monitoring
Chronic atrial fibrillation
Pulse oximetry or ECG-capable BP cuffs for rate monitoring
Unspecified atrial fibrillation
Unspecified atrial fibrillation
Coronary Artery Disease
3 codesAtherosclerotic heart disease of native coronary artery without angina
Atherosclerotic heart disease of native coronary artery without angina
Atherosclerotic heart disease of native coronary artery with unstable angina
Atherosclerotic heart disease of native coronary artery with unstable angina
Ischemic cardiomyopathy
Ischemic cardiomyopathy
Heart Failure
11 codesLeft ventricular failure, unspecified
Daily weight + BP monitoring critical for fluid management
Left ventricular failure, unspecified
Daily weight + BP monitoring critical for fluid management
Unspecified systolic (HFrEF) heart failure
Unspecified systolic (HFrEF) heart failure
Acute systolic (HFrEF) heart failure
Acute systolic (HFrEF) heart failure
Chronic systolic (HFrEF) heart failure
Chronic systolic (HFrEF) heart failure
Acute on chronic systolic (HFrEF) heart failure
Acute on chronic systolic (HFrEF) heart failure
Unspecified diastolic (HFpEF) heart failure
Unspecified diastolic (HFpEF) heart failure
Chronic diastolic (HFpEF) heart failure
Chronic diastolic (HFpEF) heart failure
Acute on chronic diastolic (HFpEF) heart failure
Acute on chronic diastolic (HFpEF) heart failure
Unspecified combined systolic and diastolic heart failure
Unspecified combined systolic and diastolic heart failure
Chronic combined systolic and diastolic heart failure
Chronic combined systolic and diastolic heart failure
Heart failure, unspecified
Heart failure, unspecified
Hypertension
6 codesEssential (primary) hypertension
Most common RPM diagnosis; twice-daily BP monitoring recommended
Essential (primary) hypertension
Most common RPM diagnosis; twice-daily BP monitoring recommended
Hypertensive heart disease without heart failure
Hypertensive heart disease without heart failure
Hypertensive chronic kidney disease, stage 1–4/unspecified
Hypertensive chronic kidney disease, stage 1–4/unspecified
Hypertensive heart and CKD without heart failure, stage 1–4/unspecified
Hypertensive heart and CKD without heart failure, stage 1–4/unspecified
Renovascular hypertension
Renovascular hypertension
Other secondary hypertension
Other secondary hypertension
Type 2 Diabetes
1 codeType 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
Venous Thromboembolism
2 codesAcute embolism and thrombosis of unspecified deep veins of lower extremity
Acute embolism and thrombosis of unspecified deep veins of lower extremity
Other pulmonary embolism without acute cor pulmonale
Other pulmonary embolism without acute cor pulmonale
Clinical Context
Why cardiology practices benefit from PCM.
Cardiology practices can leverage PCM to improve patient outcomes through structured care management, generating $97–$220+ per patient per month in Medicare reimbursement while reducing avoidable hospitalizations.
Related Conditions
Condition monitoring guides.
FAQ
Common questions.
What ICD-10 codes qualify cardiology patients for PCM?
There are 27 ICD-10 codes that qualify cardiology patients for Principal Care Management (PCM). These include codes across 6 diagnosis categories: Atrial Fibrillation, Coronary Artery Disease, Heart Failure, Hypertension, Type 2 Diabetes, Venous Thromboembolism.
How does CCN Health support cardiology practices with PCM?
CCN Health provides turnkey PCM services for cardiology practices — including patient eligibility identification, enrollment documentation, device provisioning, clinical monitoring, and full Medicare billing support. Most practices are fully operational within 1 week.
What is the revenue potential for PCM in cardiology?
PCM generates $68–149 per patient per month in Medicare reimbursement. Cardiology practices with a high prevalence of qualifying conditions can scale rapidly, especially when PCM is stacked with other eligible programs like RPM and BHI.