I21.4
Billable codeNon-ST elevation (NSTEMI) myocardial infarction
The ICD-10 code for non-st elevation (nstemi) myocardial infarction is I21.4.
Clinical notes
Also known as
Alternate wording, synonyms, or specific conditions that fall under this code, listed to help confirm you've picked the right one.
- Acute subendocardial myocardial infarction
- Non-Q wave myocardial infarction NOS
- Nontransmural myocardial infarction NOS
- Type 1 non-ST elevation myocardial infarction
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- I21.0ST elevation (STEMI) myocardial infarction of anterior wallnon-billable header
- I21.1ST elevation (STEMI) myocardial infarction of inferior wallnon-billable header
- I21.2ST elevation (STEMI) myocardial infarction of other sitesnon-billable header
- I21.3ST elevation (STEMI) myocardial infarction of unspecified site
- I21.9Acute myocardial infarction, unspecified
- I21.AOther type of myocardial infarctionnon-billable header
- I21.BMyocardial infarction with coronary microvascular dysfunction
- I21.4Non-ST elevation (NSTEMI) myocardial infarction
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- 41071Approximate match
- 41070Approximate match
- 41072Approximate match
Associated MS-DRGs
I21.4 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.
- DRG 205Other Respiratory System Diagnoses with MCC
- DRG 206Other Respiratory System Diagnoses without MCC
- DRG 280Acute Myocardial Infarction, Discharged Alive with MCC
- DRG 281Acute Myocardial Infarction, Discharged Alive with CC
- DRG 282Acute Myocardial Infarction, Discharged Alive without CC/MCC
- DRG 283Acute Myocardial Infarction, Expired with MCC
- DRG 284Acute Myocardial Infarction, Expired with CC
- DRG 285Acute Myocardial Infarction, Expired without CC/MCC