Postcardiotomy syndrome
ICD-10 I97.0 is a billable code used to indicate a diagnosis of postcardiotomy syndrome.
Postcardiotomy syndrome, also known as post-pericardiotomy syndrome, is a complication that can occur after cardiac surgery, particularly following procedures involving the heart or pericardium. Clinically, it presents with symptoms such as fever, pleuritic chest pain, and pericardial effusion, which may develop weeks to months post-surgery. The syndrome is thought to be an autoimmune response to the surgical trauma, leading to inflammation of the pericardium and pleura. Anatomically, the heart and surrounding structures, including the pericardium, are involved, and the inflammatory process can result in significant morbidity if not recognized and treated promptly. Disease progression can vary; some patients may experience mild symptoms that resolve spontaneously, while others may develop more severe manifestations requiring intervention. Diagnostic considerations include imaging studies such as echocardiography to assess for effusions and laboratory tests to evaluate inflammatory markers. Early recognition and management are crucial to prevent complications such as cardiac tamponade or chronic constrictive pericarditis.
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
I97.0 specifically covers postcardiotomy syndrome, which includes symptoms such as fever, chest pain, and pericardial effusion following cardiac surgery. It is important to differentiate it from other post-surgical complications.
I97.0 should be used when the patient presents with postcardiotomy syndrome without significant effusion. If effusion is present, I97.1 would be more appropriate.
Documentation should include details of the surgical procedure, onset of symptoms, clinical findings, and any imaging or laboratory results that support the diagnosis of postcardiotomy syndrome.
