ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesI32

I32

Billable

Pericarditis in diseases classified elsewhere

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

Code Description

ICD-10 I32 is a billable code used to indicate a diagnosis of pericarditis in diseases classified elsewhere.

Key Diagnostic Point:

Pericarditis classified under I32 refers to inflammation of the pericardium, the fibrous sac surrounding the heart. This condition can arise as a complication of various diseases, including infections, autoimmune disorders, and malignancies. Clinically, patients may present with chest pain, which is often sharp and pleuritic, and may be relieved by sitting forward. Other symptoms can include fever, dyspnea, and pericardial friction rub on auscultation. The anatomy involved primarily includes the pericardium, which consists of two layers: the visceral and parietal pericardium. Disease progression can lead to complications such as pericardial effusion, cardiac tamponade, or constrictive pericarditis if left untreated. Diagnostic considerations include a thorough history and physical examination, electrocardiogram (ECG) changes, echocardiography, and laboratory tests to identify underlying causes. Understanding the etiology is crucial for effective management and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other causes of chest pain and cardiac conditions.
  • Treatment complexity: Management may involve medications, pericardiocentesis, or surgery depending on severity.
  • Documentation requirements: Detailed clinical notes are necessary to support diagnosis and treatment.
  • Coding specificity: Requires accurate coding to reflect the underlying condition causing pericarditis.

Audit Risk Factors

  • Common coding errors: Misclassification of pericarditis as primary when it is secondary to another condition.
  • Documentation gaps: Incomplete records regarding the underlying disease or treatment rationale.
  • Billing challenges: Potential denials if the relationship between the primary disease and pericarditis is not clearly established.

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

Internal 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 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

Pericarditis can significantly impact patient quality of life and healthcare utilization, leading to increased hospital visits and potential admissions. Understanding its epidemiology is crucial, as it can occur in various populations, particularly those with autoimmune diseases or infections. Quality measures related to the timely diagnosis and management of pericarditis can improve outcomes and reduce complications, highlighting the importance of effective coding and documentation.

ICD-9 vs ICD-10

Pericarditis can significantly impact patient quality of life and healthcare utilization, leading to increased hospital visits and potential admissions. Understanding its epidemiology is crucial, as it can occur in various populations, particularly those with autoimmune diseases or infections. Quality measures related to the timely diagnosis and management of pericarditis can improve outcomes and reduce complications, highlighting the importance of effective coding and documentation.

Reimbursement & Billing Impact

Reimbursement may vary based on the severity of the condition and associated treatments. Common denials can occur if the documentation does not clearly link the pericarditis to the underlying disease. It is essential to ensure that all relevant clinical notes, diagnostic tests, and treatment plans are well-documented to support the claim. Adhering to coding best practices, including accurate code selection and comprehensive documentation, can mitigate billing challenges.

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 I32?

I32 covers pericarditis that occurs as a result of other diseases such as infections (viral, bacterial), autoimmune diseases (lupus, rheumatoid arthritis), and malignancies. It is important to document the underlying condition to justify the use of this code.

When should I32 be used instead of related codes?

I32 should be used when pericarditis is secondary to another disease process. If pericarditis is primary or idiopathic, codes I30 or I31 should be considered instead.

What documentation supports I32?

Documentation should include a detailed patient history, physical examination findings, results from diagnostic tests (ECG, echocardiogram), and notes on the underlying condition leading to pericarditis.