2025 ICD-10-CM code I30
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the circulatory system - Other forms of heart disease Diseases of the circulatory system (I00-I99) Feed
Acute pericarditis, inflammation of the pericardium (sac surrounding the heart).
Modifiers may be applicable depending on the specific circumstances of the encounter and the services provided. Consult official coding guidelines for appropriate modifier usage.
Medical necessity for coding I30 is established by the presence of symptoms and signs consistent with acute pericarditis, supported by appropriate diagnostic testing (ECG and/or echocardiogram) demonstrating inflammation or effusion of the pericardium.
Diagnosis and management of acute pericarditis, including assessment of symptoms, diagnostic testing (e.g., electrocardiogram, echocardiogram), and treatment (e.g., medication, pericardiocentesis).
In simple words: Acute pericarditis is an inflammation of the sac around your heart.It can cause chest pain and fever.
Acute pericarditis encompasses various forms of inflammation affecting the pericardium, the sac surrounding the heart.This can include acute mediastinopericarditis, acute myopericarditis, acute pericardial effusion, acute pleuropericarditis, and acute pneumopericarditis.It excludes Dressler's syndrome (I24.1), rheumatic pericarditis (acute) (I01.0), and viral pericarditis due to Coxsakie virus (B33.23).
Example 1: A 45-year-old male presents to the emergency department with sudden-onset chest pain radiating to the back and left shoulder, accompanied by fever and shortness of breath.ECG shows diffuse ST-segment elevation.Echocardiogram confirms pericardial effusion.Diagnosis: Acute pericarditis., A 60-year-old female with a history of lupus develops chest pain and friction rub.ECG shows PR-segment depression.Diagnosis: Acute pericarditis secondary to lupus., A 22-year-old male presents with fever, chest pain, and a pericardial friction rub following a viral infection.ECG and echocardiogram confirm the diagnosis of Acute pericarditis.
Detailed history of present illness, including symptom onset, character, and duration; physical examination findings, including vital signs and auscultation for friction rub; ECG findings; echocardiogram results; and laboratory tests (e.g., complete blood count, inflammatory markers).
** The specificity of the diagnosis (I30.0, I30.1, I30.8, I30.9) should be documented based on the clinical findings and the underlying cause of the pericarditis.Always refer to the most current version of the ICD-10-CM coding manual for the most up-to-date information.
- Payment Status: Active
- Modifier TC rule: Not applicable; I30 is a diagnosis code.
- Specialties:Cardiology, Internal Medicine, Emergency Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Emergency Room - Hospital, Office