Rupture of papillary muscle as current complication following acute myocardial infarction
ICD-10 I23.5 is a billable code used to indicate a diagnosis of rupture of papillary muscle as current complication following acute myocardial infarction.
Rupture of the papillary muscle is a serious complication that can occur following an acute myocardial infarction (AMI). The papillary muscles are located in the ventricles of the heart and are attached to the heart valves via chordae tendineae. Their primary function is to prevent the valves from inverting during ventricular contraction. When an AMI occurs, particularly in the inferior wall of the left ventricle, blood supply to the papillary muscle may be compromised, leading to ischemia and potential rupture. Clinically, patients may present with sudden onset of heart failure symptoms, including dyspnea, hypotension, and signs of cardiogenic shock. Diagnosis is typically confirmed through echocardiography, which may reveal mitral valve insufficiency due to the rupture. The progression of this condition can be rapid, necessitating urgent surgical intervention to repair or replace the affected valve. The prognosis is often poor without timely treatment, making early recognition and management critical.
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
I23.5 specifically covers the rupture of the papillary muscle as a complication following an acute myocardial infarction. It is characterized by acute mitral valve insufficiency due to the rupture, leading to severe heart failure symptoms.
I23.5 should be used when there is clear evidence of papillary muscle rupture following an acute myocardial infarction, particularly when echocardiographic findings confirm mitral valve insufficiency due to this rupture.
Documentation should include clinical notes detailing the patient's presentation, results from echocardiography showing valve dysfunction, and any surgical reports if applicable. Clear timelines of the myocardial infarction and subsequent complications are crucial.
