Chronic adhesive pericarditis
ICD-10 I31.0 is a billable code used to indicate a diagnosis of chronic adhesive pericarditis.
Chronic adhesive pericarditis is a condition characterized by the thickening and fibrous scarring of the pericardium, the double-walled sac containing the heart. This condition often arises as a complication of previous pericarditis, particularly after infectious, inflammatory, or traumatic events. Clinically, patients may present with symptoms such as chest pain, dyspnea, and signs of heart failure due to impaired cardiac function. The anatomy involved includes the pericardium, which can become adherent to the myocardium, leading to restricted heart movement and compromised hemodynamics. Disease progression can vary; while some patients may remain stable, others may experience worsening symptoms and complications, including constrictive pericarditis. Diagnostic considerations include echocardiography, which can reveal pericardial thickening and effusion, and MRI or CT scans for more detailed imaging. A thorough clinical history and physical examination are essential for accurate diagnosis and management planning.
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
I31.0 specifically covers chronic adhesive pericarditis, which may develop after previous episodes of pericarditis or as a result of other underlying conditions such as tuberculosis or post-surgical changes.
I31.0 should be used when the pericarditis is chronic and characterized by adhesions. It is distinct from acute pericarditis (I31.1) and other pericardial conditions that do not involve chronic changes.
Documentation should include a detailed clinical history, results from imaging studies (such as echocardiograms or MRIs), and any previous episodes of pericarditis or relevant medical history that may contribute to the diagnosis.
