Rheumatic chorea with heart involvement
ICD-10 I02.0 is a billable code used to indicate a diagnosis of rheumatic chorea with heart involvement.
Rheumatic chorea with heart involvement is a neurological disorder that occurs as a complication of rheumatic fever, which is a sequela of streptococcal throat infection. Clinically, it is characterized by involuntary, rapid, and irregular movements, primarily affecting the face, hands, and feet. The condition can also lead to significant cardiovascular complications, including rheumatic heart disease, which may manifest as valvular heart disease, particularly affecting the mitral and aortic valves. The disease progression can vary, with some patients experiencing acute symptoms that resolve over time, while others may develop chronic heart issues. Diagnostic considerations include a thorough clinical evaluation, history of streptococcal infection, and neurological assessment, often supported by laboratory tests such as throat cultures and serological tests for streptococcal antibodies. An echocardiogram may be necessary to assess heart involvement and function.
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
I02.0 specifically covers rheumatic chorea that is associated with heart involvement due to rheumatic fever. This includes the neurological symptoms of chorea and the cardiovascular complications such as valvular heart disease.
I02.0 should be used when there is clear evidence of rheumatic chorea accompanied by cardiac involvement. If chorea occurs without heart complications, I02.1 should be selected instead.
Documentation should include a detailed patient history of rheumatic fever, neurological assessments indicating chorea, and cardiac evaluations such as echocardiograms that confirm heart involvement.
