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v1.0.0
ICD-10 Guide
ICD-10 CodesB33.24

B33.24

Viral cardiomyopathy

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 B33.24 is a billable code used to indicate a diagnosis of viral cardiomyopathy.

Key Diagnostic Point:

Viral cardiomyopathy is a form of heart muscle disease that occurs as a result of viral infections. It is characterized by inflammation of the myocardium, which can lead to impaired cardiac function. Common viral pathogens associated with this condition include Coxsackievirus, adenovirus, parvovirus B19, and human immunodeficiency virus (HIV). The pathophysiology involves direct viral invasion of cardiac myocytes, leading to inflammation and necrosis. Symptoms may range from mild fatigue and palpitations to severe heart failure and arrhythmias. Diagnosis typically involves a combination of clinical evaluation, imaging studies such as echocardiography, and laboratory tests including viral serologies and polymerase chain reaction (PCR) assays to identify the specific viral agent. Treatment may include supportive care, management of heart failure symptoms, and in some cases, antiviral therapy, although the latter is not always effective. The prognosis varies widely depending on the severity of the disease and the underlying viral infection.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of viral pathogens that can cause the condition
  • Need for specific diagnostic tests to confirm viral etiology
  • Potential overlap with other forms of cardiomyopathy
  • Variability in clinical presentation and severity

Audit Risk Factors

  • Inadequate documentation of viral etiology
  • Failure to include relevant diagnostic tests
  • Misclassification of cardiomyopathy type
  • Lack of clear linkage between symptoms and diagnosis

Specialty Focus

Medical Specialties

Cardiology

Documentation Requirements

Detailed clinical notes on symptoms, diagnostic tests, and treatment plans.

Common Clinical Scenarios

Patients presenting with heart failure symptoms, arrhythmias, or unexplained cardiomyopathy.

Billing Considerations

Ensure thorough documentation of viral testing and results to support the diagnosis.

Infectious Disease

Documentation Requirements

Comprehensive history of viral infections, laboratory results, and treatment response.

Common Clinical Scenarios

Patients with known viral infections presenting with cardiac symptoms.

Billing Considerations

Document the relationship between the viral infection and cardiac symptoms clearly.

Coding Guidelines

Inclusion Criteria

Use B33.24 When
  • According to ICD
  • 10 guidelines, B33
  • 24 should be used when there is clear documentation of viral cardiomyopathy
  • It is important to include the specific viral agent when known
  • viral causes

Exclusion Criteria

Do NOT use B33.24 When
  • Exclusion criteria include cases where cardiomyopathy is due to non

Related CPT Codes

93306CPT Code

Echocardiography, transthoracic, real-time with interpretation

Clinical Scenario

Used to assess cardiac function in patients suspected of viral cardiomyopathy.

Documentation Requirements

Document indications for the echocardiogram and findings.

Specialty Considerations

Cardiology specialists should ensure detailed reporting of echocardiographic findings.

87491CPT Code

Infectious agent detection by nucleic acid (DNA or RNA); viral, amplified probe technique

Clinical Scenario

Used for confirming viral etiology in suspected viral cardiomyopathy cases.

Documentation Requirements

Document the specific viral test performed and results.

Specialty Considerations

Infectious disease specialists should provide comprehensive lab results.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of viral cardiomyopathy, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of viral infections and their impact on cardiac health.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of viral cardiomyopathy, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of viral infections and their impact on cardiac health.

Reimbursement & Billing Impact

reimbursement processes. It has also facilitated better tracking of viral infections and their impact on cardiac health.

Resources

Clinical References

  • •
    American Heart Association - Viral Cardiomyopathy

Coding & Billing References

  • •
    American Heart Association - Viral Cardiomyopathy

Frequently Asked Questions

What are the common viruses that cause viral cardiomyopathy?

Common viruses include Coxsackievirus, adenovirus, parvovirus B19, and HIV. Each can lead to inflammation of the heart muscle, resulting in cardiomyopathy.

How is viral cardiomyopathy diagnosed?

Diagnosis typically involves clinical evaluation, echocardiography, and laboratory tests including viral serologies and PCR to identify the specific viral agent.

What treatments are available for viral cardiomyopathy?

Treatment may include supportive care, management of heart failure symptoms, and antiviral therapy, although the latter is not always effective.

What is the prognosis for patients with viral cardiomyopathy?

Prognosis varies widely depending on the severity of the disease and the underlying viral infection. Some patients may recover fully, while others may develop chronic heart failure.