Chronic constrictive pericarditis
ICD-10 I31.1 is a billable code used to indicate a diagnosis of chronic constrictive pericarditis.
Chronic constrictive pericarditis is a condition characterized by the thickening and fibrosis of the pericardium, the fibrous sac surrounding the heart. This condition often results from chronic inflammation due to infections, such as tuberculosis or viral infections, or can be idiopathic. Clinically, patients may present with symptoms of heart failure, including dyspnea, fatigue, and peripheral edema, due to impaired diastolic filling of the heart. The anatomy involved includes the pericardium, which restricts the heart's ability to expand fully during diastole, leading to decreased cardiac output. Disease progression can lead to severe heart failure and other complications if left untreated. Diagnosis typically involves imaging studies such as echocardiography, which may show pericardial thickening and diastolic dysfunction, as well as MRI or CT scans for further evaluation. Clinical history and physical examination are crucial for identifying signs of fluid overload and heart failure.
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
I31.1 specifically covers chronic constrictive pericarditis, which may arise from various etiologies including post-surgical changes, chronic infections, or idiopathic causes. It is important to differentiate it from acute pericarditis and other pericardial diseases.
I31.1 should be used when there is clear evidence of chronic constrictive pericarditis, characterized by symptoms of heart failure and imaging findings that confirm pericardial thickening and restriction of heart filling. It should not be used for acute conditions or other forms of pericarditis.
Documentation for I31.1 should include a thorough clinical history, physical examination findings, and imaging studies such as echocardiograms or MRIs that demonstrate pericardial thickening and diastolic dysfunction. Any relevant laboratory tests that support the diagnosis should also be included.
