Viral pericarditis
ICD-10 B33.23 is a billable code used to indicate a diagnosis of viral pericarditis.
Viral pericarditis is an inflammation of the pericardium, the fibrous sac surrounding the heart, caused by viral infections. Common viral pathogens include Coxsackievirus, Echovirus, Influenza virus, and HIV. Patients typically present with symptoms such as chest pain, fever, and dyspnea. The pain may worsen with deep breathing or coughing and may be relieved by sitting forward. Diagnosis is primarily clinical, supported by imaging studies such as echocardiography, which can reveal pericardial effusion, and laboratory tests that may include viral serologies and PCR testing to identify the specific viral agent. Treatment is generally supportive, focusing on pain relief with NSAIDs or corticosteroids in severe cases. Antiviral therapy may be indicated in specific viral infections, such as HIV, where antiviral medications can help manage the underlying viral load. The prognosis for viral pericarditis is generally good, with most patients recovering fully without complications.
Detailed clinical notes on symptoms, diagnostic tests, and treatment plans.
Patients presenting with chest pain and fever, suspected viral infections.
Ensure documentation includes specific viral identification and treatment response.
Comprehensive history of viral infections, lab results, and treatment regimens.
Patients with known viral infections presenting with cardiac symptoms.
Document any antiviral treatments and their effects on pericarditis.
Used to assess pericardial effusion in suspected viral pericarditis.
Document indication for echocardiography and findings.
Cardiology specialists should ensure comprehensive reporting of echocardiographic findings.
Common viral causes include Coxsackievirus, Echovirus, Influenza virus, and HIV. Each may present with unique clinical features and require specific diagnostic approaches.
