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2025 ICD-10-CM code A01.02

Typhoid fever with heart involvement.

Use additional codes to specify the type of heart involvement, such as myocarditis (I40.9) or pericarditis (I30.9), if known. Also, use Z16.- to indicate any resistance to antimicrobial drugs.

Medical necessity for treatment is established by confirming the diagnosis of typhoid fever with heart involvement through appropriate diagnostic tests. The severity of cardiac involvement dictates the level of treatment, ranging from antibiotics to surgical interventions.

Clinicians should diagnose and treat typhoid fever with heart involvement, which can manifest as myocarditis or pericarditis.Diagnosis involves laboratory tests of stool samples and ECGs. Treatment typically includes antibiotics, and severe cases may require pericardiocentesis or pericardiectomy.

In simple words: Typhoid fever is a bacterial infection that can sometimes affect the heart, causing inflammation of the heart muscle or the sac surrounding it.

This code represents typhoid fever that has affected the heart, encompassing complications such as myocarditis (inflammation of the heart muscle) and pericarditis (inflammation of the lining around the heart).

Example 1: A patient presents with fever, chest pain, and is diagnosed with typhoid fever.Further investigation reveals inflammation of the pericardium, indicating typhoid fever with heart involvement (A01.02)., A patient with a history of typhoid fever develops myocarditis, confirmed by ECG and lab tests. This is coded as A01.02., A traveler returning from a region with poor sanitation develops typhoid fever, which progresses to involve the heart, requiring pericardiocentesis. This is coded as A01.02

Documentation should include evidence of typhoid fever diagnosis (e.g., positive stool culture for Salmonella typhi), along with signs and symptoms of cardiac involvement such as chest pain, abnormal ECG findings, and echocardiogram results indicating myocarditis or pericarditis.

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