Hemopericardium, not elsewhere classified
ICD-10 I31.2 is a billable code used to indicate a diagnosis of hemopericardium, not elsewhere classified.
Hemopericardium refers to the accumulation of blood in the pericardial cavity, which can result from various causes including trauma, myocardial infarction, or malignancy. Clinically, patients may present with symptoms such as chest pain, dyspnea, and signs of cardiac tamponade, which can lead to hypotension and shock if not addressed promptly. The anatomy involved includes the pericardium, a double-walled sac that surrounds the heart, and the heart itself, which can be compromised by the pressure exerted by the accumulated blood. Disease progression can vary; acute hemopericardium may develop rapidly following trauma or rupture of a cardiac structure, while chronic cases may arise from malignancies or inflammatory conditions. Diagnostic considerations include echocardiography, which is the primary imaging modality used to confirm the presence of fluid in the pericardial space, as well as CT or MRI in complex cases. Laboratory tests may also be performed to identify underlying causes such as infection or malignancy.
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
I31.2 specifically covers hemopericardium that is not classified elsewhere, including cases resulting from trauma, myocardial rupture, or malignancy. It does not include pericardial effusion without blood.
I31.2 should be used when there is clear evidence of blood accumulation in the pericardial space, particularly in acute settings. It is differentiated from I31.1, which refers to non-bloody pericardial effusion.
Documentation should include clinical findings, imaging results confirming hemopericardium, and any relevant laboratory tests that indicate the underlying cause of the bleeding.
