2025 ICD-10-CM code I31.2
(Active) Effective Date: N/A Diseases of the circulatory system - Other forms of heart disease IX Feed
Hemopericardium, not elsewhere classified.
Medical necessity for services related to I31.2 is established by the presence of signs and symptoms indicating hemopericardium and the need for intervention to alleviate symptoms and prevent complications like cardiac tamponade.
Diagnosis and treatment of hemopericardium is typically managed by cardiologists, thoracic surgeons, or other specialists depending on the underlying cause and severity.They are responsible for determining the cause, performing necessary procedures (like pericardiocentesis), and monitoring patient recovery.
In simple words: Blood has accumulated around the heart, but this isn't due to a recent heart attack or cancerous fluid buildup.
Presence of blood in the pericardial cavity, excluding hemopericardium following acute myocardial infarction (I23.0) and malignant pericardial effusion (I31.31).
Example 1: A patient presents with chest pain and shortness of breath after a motor vehicle accident. Imaging reveals fluid around the heart consistent with blood, diagnosed as hemopericardium., During a cardiac catheterization procedure, a coronary artery is accidentally perforated, leading to bleeding into the pericardial sac and a diagnosis of I31.2., A patient with a history of lung cancer develops hemopericardium due to metastatic spread to the pericardium. This is coded as I31.2 because the malignant effusion code (I31.31) is excluded in this case.
Documentation should include details of the symptoms, diagnostic imaging results (e.g., echocardiogram, CT scan) confirming the presence of blood in the pericardial cavity, and any procedures performed, such as pericardiocentesis. The underlying cause of the hemopericardium should also be documented, if known.
** It is crucial to identify and document the underlying cause of hemopericardium to ensure appropriate treatment and coding.
- Payment Status: Active
- Specialties:Cardiology, Thoracic Surgery, Emergency Medicine, Critical Care Medicine
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Office