Acute rheumatic pericarditis
ICD-10 I01.0 is a billable code used to indicate a diagnosis of acute rheumatic pericarditis.
Acute rheumatic pericarditis is an inflammatory condition of the pericardium, the fibrous sac surrounding the heart, resulting from rheumatic fever, which is a complication of untreated streptococcal throat infection. Clinically, patients may present with chest pain, fever, and signs of pericardial effusion. The anatomy involved includes the pericardium and potentially the myocardium and endocardium, as rheumatic fever can affect multiple layers of the heart. Disease progression can lead to chronic pericarditis or constrictive pericarditis if not treated adequately. Diagnostic considerations include a thorough clinical history, physical examination, echocardiography to assess pericardial effusion, and laboratory tests to identify streptococcal infection. The diagnosis is often confirmed through the presence of characteristic symptoms and elevated inflammatory markers, such as ESR and CRP. Early recognition and treatment are crucial to prevent complications such as cardiac tamponade or heart failure.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
I01.0 specifically covers acute rheumatic pericarditis that arises as a complication of rheumatic fever, characterized by inflammation of the pericardium. It does not include pericarditis due to other causes such as viral infections or malignancies.
I01.0 should be used when the pericarditis is directly linked to rheumatic fever. If pericarditis is due to other etiologies, such as viral or bacterial infections, different codes should be selected.
Documentation should include a confirmed diagnosis of rheumatic fever, clinical symptoms indicative of pericarditis, results from echocardiography showing pericardial effusion, and laboratory findings supporting the diagnosis.
