Chronic rheumatic pericarditis
ICD-10 I09.2 is a billable code used to indicate a diagnosis of chronic rheumatic pericarditis.
Chronic rheumatic pericarditis is a long-term inflammatory condition of the pericardium, the fibrous sac surrounding the heart, resulting from rheumatic fever, which is a complication of untreated streptococcal throat infections. Clinically, patients may present with symptoms such as chest pain, dyspnea, and fatigue, often exacerbated by physical exertion. The anatomy involved includes the pericardium, which may become thickened and fibrotic over time, leading to constrictive pericarditis. Disease progression can lead to significant complications, including heart failure and arrhythmias, due to impaired cardiac function. Diagnostic considerations include a thorough patient history, physical examination, echocardiography, and possibly MRI or CT imaging to assess pericardial thickness and function. Laboratory tests may also be performed to identify underlying rheumatic fever or other autoimmune conditions. Early diagnosis and management are crucial to prevent further cardiac complications.
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
I09.2 specifically covers chronic rheumatic pericarditis, which is a long-term inflammatory condition resulting from rheumatic fever. It may also encompass related complications such as constrictive pericarditis.
I09.2 should be used when the pericarditis is chronic and related to rheumatic fever, distinguishing it from acute forms or pericarditis due to other causes, such as viral infections or trauma.
Documentation should include a detailed patient history of rheumatic fever, clinical symptoms, results from imaging studies showing pericardial changes, and any relevant laboratory tests indicating autoimmune activity.
