2025 ICD-10-CM code B33.23
(Active) Effective Date: N/A Infectious and parasitic diseases - Other viral diseases Certain infectious and parasitic diseases Feed
Viral pericarditis.
Medical necessity for treatment of viral pericarditis is established by the presence of signs and symptoms, along with supporting diagnostic evidence of pericardial inflammation.Treatment is directed at symptom relief and preventing complications such as cardiac tamponade.In severe cases, pericardiocentesis is medically necessary to relieve life-threatening pressure on the heart.
Clinicians diagnose viral pericarditis based on patient history, symptoms, physical examination, and diagnostic tests such as ECG, echocardiogram, and sometimes blood tests for viral antibodies or cardiac enzymes. Treatment decisions, including medication and potential procedures like pericardiocentesis, are the responsibility of the healthcare provider.
In simple words: Viral pericarditis is an infection around the heart caused by a virus. It can cause chest pain, fever, tiredness, and trouble breathing. Doctors diagnose it with a physical exam, heart tracing (ECG), and ultrasound of the heart.Treatment usually involves anti-inflammatory medications. In serious cases, a procedure to drain fluid from around the heart may be needed.
Viral pericarditis is an inflammation of the pericardium, the sac-like membrane surrounding the heart, caused by a viral infection.Symptoms may include sharp chest pain, fever, fatigue, and shortness of breath. Diagnosis involves physical examination, ECG, echocardiogram, and sometimes serologic tests or cardiac enzyme tests. Treatment typically includes NSAIDs to reduce inflammation and pain.In severe cases with cardiac tamponade (fluid buildup around the heart), pericardiocentesis may be necessary.
Example 1: A 25-year-old patient presents with sharp chest pain that worsens when lying down, accompanied by fever and fatigue.Following an ECG and echocardiogram showing pericardial inflammation, and with no other apparent cause, the physician diagnoses viral pericarditis and prescribes NSAIDs., A patient recovering from a respiratory viral infection develops chest pain and shortness of breath.Diagnostic tests reveal fluid buildup around the heart, indicating cardiac tamponade secondary to viral pericarditis. Pericardiocentesis is performed to relieve the pressure on the heart., A patient with a history of autoimmune disease experiences chest pain.After extensive testing, including ruling out other cardiac conditions and infections,viral pericarditis is diagnosed as the most likely cause due to mild pericardial inflammation observed on echocardiography. Treatment focuses on managing symptoms and inflammation.
Documentation for viral pericarditis should include:1. Patient's presenting symptoms (chest pain characteristics, fever, fatigue, shortness of breath).2. Physical examination findings.3. Results of diagnostic tests (ECG, echocardiogram, blood tests if performed).4. Treatment plan, including medications and any procedures.5. Follow-up care and response to treatment.
- Specialties:Cardiology, Internal Medicine, Infectious Disease
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Office, Urgent Care Facility