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v1.0.0
ICD-10 Guide
ICD-10 CodesI23.0

I23.0

Billable

Hemopericardium as current complication following acute myocardial infarction

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 I23.0 is a billable code used to indicate a diagnosis of hemopericardium as current complication following acute myocardial infarction.

Key Diagnostic Point:

Hemopericardium as a current complication following acute myocardial infarction (AMI) is characterized by the accumulation of blood in the pericardial cavity, which can occur as a result of rupture of the heart muscle or major coronary vessels post-AMI. Clinically, patients may present with symptoms such as chest pain, dyspnea, and signs of cardiac tamponade, including hypotension and muffled heart sounds. The anatomy involved includes the heart and the pericardial sac, which surrounds the heart. Disease progression can lead to severe complications, including cardiac arrest if not promptly addressed. Diagnostic considerations include echocardiography, which can reveal fluid accumulation, and CT imaging for more detailed assessment. Timely recognition and intervention are critical, as hemopericardium can rapidly progress to life-threatening conditions requiring surgical intervention, such as pericardiocentesis or pericardial window procedures.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Diagnostic complexity: Requires advanced imaging and clinical assessment.
  • Treatment complexity: May necessitate emergency interventions and multidisciplinary care.
  • Documentation requirements: Detailed clinical notes and imaging results are essential.
  • Coding specificity: Requires precise coding to differentiate from other pericardial conditions.

Audit Risk Factors

  • Common coding errors: Misclassification with other pericardial conditions.
  • Documentation gaps: Incomplete clinical notes regarding the cause and treatment.
  • Billing challenges: Potential denials due to lack of clear linkage between AMI and hemopericardium.

Specialty Focus

Medical Specialties

Cardiology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Emergency Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of I23.0 lies in its potential to lead to severe complications, including cardiac arrest, if not promptly addressed. The population health impact is notable, as timely diagnosis and treatment can significantly reduce morbidity and mortality associated with acute myocardial infarction complications. Quality measures may include monitoring the incidence of hemopericardium in AMI patients and ensuring adherence to guidelines for timely intervention, which can improve healthcare utilization patterns and outcomes.

ICD-9 vs ICD-10

The clinical significance of I23.0 lies in its potential to lead to severe complications, including cardiac arrest, if not promptly addressed. The population health impact is notable, as timely diagnosis and treatment can significantly reduce morbidity and mortality associated with acute myocardial infarction complications. Quality measures may include monitoring the incidence of hemopericardium in AMI patients and ensuring adherence to guidelines for timely intervention, which can improve healthcare utilization patterns and outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include the severity of the condition and the necessity for emergency interventions. Common denials may arise if documentation does not clearly establish the link between the acute myocardial infarction and the hemopericardium. Best practices include ensuring that all clinical notes, imaging studies, and treatment plans are meticulously recorded and linked to the diagnosis to facilitate proper billing and reduce audit risks.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by I23.0?

I23.0 specifically covers hemopericardium that occurs as a direct complication of an acute myocardial infarction, typically resulting from myocardial rupture or perforation.

When should I23.0 be used instead of related codes?

I23.0 should be used when there is clear documentation of hemopericardium following an AMI, distinguishing it from other pericardial conditions that may not be directly related to myocardial infarction.

What documentation supports I23.0?

Documentation should include clinical findings, imaging results indicating hemopericardium, and a clear link to the acute myocardial infarction event, as well as treatment interventions undertaken.