2025 ICD-10-CM code I33.9
Acute and subacute endocarditis, unspecified.
Medical necessity for this code is established by the presence of clinical findings suggestive of endocarditis, such as fever, heart murmur, and evidence of infection. Confirmation with diagnostic tests like echocardiography and blood cultures is crucial.
Diagnosis and management of the patient's endocarditis falls under the purview of cardiology specialists. They are responsible for determining the underlying cause, assessing the severity of the condition, and prescribing appropriate treatment, which may include antibiotics, supportive care, and in some cases, surgery.
- Chapter 9: Diseases of the circulatory system (I00-I99)
- I33 - Acute and subacute endocarditis Excludes1: acute rheumatic endocarditis (I01.1)endocarditis NOS (I38)
In simple words: This code indicates inflammation of the inner lining of the heart, including the heart muscle and surrounding tissues, without specifying the cause.
This code signifies acute and subacute endocarditis of unspecified nature. It includes acute or subacute endocarditis, myoendocarditis, and periendocarditis where the specific cause or bacterial agent is not documented.
Example 1: A patient presents with fever, chills, and a new heart murmur. Blood cultures reveal bacterial infection, and echocardiography shows vegetations on the heart valves. The patient is diagnosed with acute infective endocarditis, but the specific organism is not yet identified, so I33.9 is used until further testing., A patient with a history of intravenous drug use develops symptoms consistent with endocarditis.Initial workup does not pinpoint a specific causative agent. I33.9 is used as a preliminary diagnosis while investigations continue., A patient experiences prolonged fever and fatigue following a dental procedure.Endocarditis is suspected, but initial tests are inconclusive.I33.9 is applied while awaiting results of further diagnostic studies to identify a specific pathogen.
Documentation should include signs and symptoms, blood culture results, echocardiogram findings, and any other relevant diagnostic tests. If a causative organism is identified later, the code should be updated accordingly.
- Specialties:Cardiology, Internal Medicine, Infectious Disease
- Place of Service:Inpatient Hospital, Office