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ICD-10 Guide
ICD-10 CodesJ10.82

J10.82

Influenza due to other identified influenza virus with myocarditis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 J10.82 is a billable code used to indicate a diagnosis of influenza due to other identified influenza virus with myocarditis.

Key Diagnostic Point:

J10.82 refers to influenza caused by other identified influenza viruses, specifically when it is complicated by myocarditis. Clinically, patients may present with typical influenza symptoms such as fever, cough, sore throat, body aches, and fatigue. However, the presence of myocarditis can lead to additional symptoms including chest pain, palpitations, and shortness of breath due to inflammation of the heart muscle. The respiratory system is primarily affected by the influenza virus, which can lead to secondary complications like pneumonia, while myocarditis introduces cardiovascular concerns. Disease progression can vary; some patients may recover fully from influenza while others may develop severe complications, particularly if they have underlying health conditions. Diagnostic considerations include laboratory tests to confirm the influenza virus type, echocardiograms, and cardiac biomarkers to assess myocardial inflammation. Early recognition and management are crucial to prevent severe outcomes.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other respiratory and cardiac conditions.
  • Treatment complexity: May involve antiviral medications, supportive care, and management of cardiac symptoms.
  • Documentation requirements: Detailed clinical documentation is necessary to support the diagnosis and treatment plan.
  • Coding specificity: Requires precise coding to capture the specific influenza virus and associated myocarditis.

Audit Risk Factors

  • Common coding errors: Misclassification of the type of influenza or failure to document myocarditis.
  • Documentation gaps: Incomplete clinical notes regarding the patient's cardiac status.
  • Billing challenges: Potential denials due to lack of clear linkage between influenza and myocarditis.

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Cardiology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical significance of J10.82 lies in its potential for severe outcomes, particularly in vulnerable populations such as the elderly or those with pre-existing heart conditions. The impact on population health is notable, as influenza can lead to increased hospitalizations and healthcare utilization, particularly when complicated by myocarditis. Understanding the epidemiology of influenza and its complications is essential for public health strategies aimed at vaccination and prevention efforts.

ICD-9 vs ICD-10

The clinical significance of J10.82 lies in its potential for severe outcomes, particularly in vulnerable populations such as the elderly or those with pre-existing heart conditions. The impact on population health is notable, as influenza can lead to increased hospitalizations and healthcare utilization, particularly when complicated by myocarditis. Understanding the epidemiology of influenza and its complications is essential for public health strategies aimed at vaccination and prevention efforts.

Reimbursement & Billing Impact

reimbursement and reduce the likelihood of audits.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by J10.82?

J10.82 covers cases of influenza due to other identified influenza viruses that are complicated by myocarditis. This includes patients who present with influenza symptoms and subsequently develop myocarditis as a complication.

When should J10.82 be used instead of related codes?

J10.82 should be used when a patient has confirmed influenza due to other identified viruses and exhibits signs or symptoms of myocarditis. If myocarditis is not present, other codes such as J10.1 may be more appropriate.

What documentation supports J10.82?

Documentation should include confirmation of influenza through laboratory testing, clinical symptoms consistent with myocarditis, and any diagnostic imaging or lab results that support the diagnosis of myocarditis.