Rupture of cardiac wall without hemopericardium as current complication following acute myocardial infarction
ICD-10 I23.3 is a billable code used to indicate a diagnosis of rupture of cardiac wall without hemopericardium as current complication following acute myocardial infarction.
I23.3 refers to the rupture of the cardiac wall without hemopericardium as a current complication following an acute myocardial infarction (AMI). This condition typically arises when the heart muscle is weakened due to ischemia and necrosis, leading to a breach in the myocardial wall. Clinically, patients may present with sudden chest pain, hemodynamic instability, and signs of heart failure. The anatomy involved primarily includes the myocardium, which is the muscular layer of the heart responsible for contraction. Disease progression can be rapid, with the risk of cardiac tamponade or sudden cardiac death if not promptly addressed. Diagnostic considerations include imaging studies such as echocardiography or cardiac MRI to assess the extent of myocardial damage and wall rupture. Timely intervention is critical to manage 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
I23.3 specifically covers the rupture of the cardiac wall following an acute myocardial infarction without the presence of hemopericardium. It is crucial to differentiate this from other cardiac complications that may involve hemopericardium or other structural heart issues.
I23.3 should be used when there is clear documentation of cardiac wall rupture post-AMI without hemopericardium. If hemopericardium is present, I23.0 should be utilized instead. Accurate clinical documentation is essential for appropriate code selection.
Documentation should include clinical notes detailing the patient's presentation, diagnostic imaging results confirming the rupture, and any interventions performed. Clear evidence of the myocardial infarction and subsequent complications must be documented to support the use of I23.3.
