Dilated cardiomyopathy
ICD-10 I42.0 is a billable code used to indicate a diagnosis of dilated cardiomyopathy.
Dilated cardiomyopathy (DCM) is a condition characterized by the dilation and impaired contraction of the left ventricle, leading to decreased cardiac output and heart failure. Clinically, patients may present with symptoms such as dyspnea, fatigue, palpitations, and edema. The condition can be idiopathic or secondary to various factors including ischemic heart disease, hypertension, or viral infections. Anatomically, DCM primarily affects the myocardium, leading to ventricular enlargement and reduced systolic function. Disease progression can vary, with some patients experiencing gradual deterioration while others may have acute exacerbations. Diagnostic considerations include echocardiography, which reveals left ventricular dilation and reduced ejection fraction, along with laboratory tests to rule out other causes of heart failure. Cardiac MRI and biopsy may be utilized in atypical cases to assess myocardial inflammation or fibrosis.
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
I42.0 specifically covers dilated cardiomyopathy, which may be idiopathic or secondary to other conditions such as ischemic heart disease, hypertension, or viral infections. It is characterized by left ventricular dilation and systolic dysfunction.
I42.0 should be used when the clinical presentation and diagnostic findings specifically indicate dilated cardiomyopathy. It is important to differentiate it from other types of cardiomyopathy, such as hypertrophic (I42.1) or restrictive (I42.2), based on echocardiographic findings.
Documentation for I42.0 should include clinical findings such as symptoms of heart failure, echocardiographic results showing left ventricular dilation and reduced ejection fraction, and any relevant laboratory or imaging studies that support the diagnosis.
