Kyphoscoliotic heart disease
ICD-10 I27.1 is a billable code used to indicate a diagnosis of kyphoscoliotic heart disease.
Kyphoscoliotic heart disease is a condition characterized by the presence of both kyphosis and scoliosis, which can lead to significant cardiovascular complications. The abnormal curvature of the spine can compress the thoracic cavity, resulting in impaired lung function and reduced cardiac output. Clinically, patients may present with symptoms such as dyspnea on exertion, fatigue, and palpitations. The anatomy involved includes the thoracic spine, lungs, and heart, where the structural deformities can lead to right heart failure due to increased pulmonary vascular resistance. Disease progression may vary, with some patients experiencing gradual deterioration of cardiac function over time. Diagnostic considerations include a thorough physical examination, imaging studies such as X-rays or MRI to assess spinal deformities, and echocardiography to evaluate cardiac function. It is crucial to differentiate kyphoscoliotic heart disease from other forms of heart disease that may present similarly, necessitating a comprehensive evaluation of the patient's clinical history and symptoms.
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
I27.1 specifically covers heart disease associated with kyphoscoliosis, which includes complications arising from the structural deformities of the spine that affect cardiac function. This may include right heart failure and pulmonary hypertension resulting from thoracic deformities.
I27.1 should be used when the patient presents with heart disease specifically linked to kyphoscoliosis, particularly when there is evidence of pulmonary hypertension or right heart failure. It is important to differentiate this from other heart diseases that may not have a spinal deformity component.
Documentation should include a detailed clinical history, physical examination findings, imaging studies demonstrating spinal deformities, and echocardiographic findings that indicate cardiac involvement. Comprehensive notes on the patient's symptoms and functional status are also essential.
