Rheumatic heart failure
ICD-10 I09.81 is a billable code used to indicate a diagnosis of rheumatic heart failure.
Rheumatic heart failure is a serious condition resulting from rheumatic fever, which is a complication of untreated streptococcal throat infection. The condition primarily affects the heart valves, leading to valvular heart disease. Clinically, patients may present with symptoms such as dyspnea, fatigue, and palpitations, which are indicative of heart failure. The anatomy involved includes the mitral and aortic valves, which may become stenotic or regurgitant due to rheumatic changes. Disease progression can lead to chronic heart failure, characterized by a decline in cardiac output and subsequent systemic effects. Diagnostic considerations include echocardiography to assess valve function and structure, along with clinical evaluation of symptoms and history of rheumatic fever. Laboratory tests may also be performed to identify streptococcal infection and inflammatory markers. Early diagnosis and management are crucial to prevent further complications and improve patient outcomes.
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
I09.81 specifically covers heart failure resulting from rheumatic heart disease, which includes conditions like mitral stenosis, mitral regurgitation, and aortic regurgitation due to rheumatic fever.
I09.81 should be used when the patient presents with heart failure specifically linked to rheumatic heart disease, as opposed to other types of heart failure which may be coded differently.
Documentation should include a detailed patient history of rheumatic fever, clinical symptoms of heart failure, results from echocardiograms, and any relevant laboratory tests indicating the presence of streptococcal infection.
