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2025 ICD-10-CM code I97.0

Postcardiotomy syndrome is a condition occurring after heart surgery.

Refer to the official ICD-10-CM coding guidelines for detailed instructions on the application and use of this code.Consider using additional codes to capture specific complications or comorbidities that may be associated with postcardiotomy syndrome.

Medical necessity for the diagnosis and management of postcardiotomy syndrome is established by the presence of symptoms and signs consistent with the condition, confirmed by appropriate clinical and laboratory findings. Treatment aims to address the underlying inflammatory process and alleviate symptoms to prevent potential complications.

Cardiologists and cardiac surgeons are primarily responsible for diagnosing and managing postcardiotomy syndrome.This involves a thorough evaluation of the patient's symptoms, medical history, and relevant investigations (e.g., blood tests, echocardiography, electrocardiography).

IMPORTANT:ICD-9-CM code 429.4 (Functional disturbances following cardiac surgery) may be considered as a bridge code for historical purposes.However,I97.0 provides a more specific diagnosis.

In simple words: Postcardiotomy syndrome is a group of problems that can happen after heart surgery.These problems might include fever, heart sac inflammation, and lung lining inflammation.

Postcardiotomy syndrome, coded as I97.0 in the ICD-10-CM classification system, refers to a constellation of symptoms and signs that can develop following cardiac surgery.These symptoms may include fever, pericarditis (inflammation of the sac surrounding the heart), and pleuritis (inflammation of the lining of the lungs).The syndrome is characterized by its onset post-cardiac surgery and the presence of systemic inflammatory responses.

Example 1: A 65-year-old male patient presents to the hospital three days after undergoing coronary artery bypass grafting (CABG). He complains of fever, chest pain, and shortness of breath.Physical examination reveals a pericardial friction rub.Echocardiography reveals a small pericardial effusion.A diagnosis of postcardiotomy syndrome is made., A 70-year-old female patient undergoes valve replacement surgery. Post-operatively, she develops fever and pleuritic chest pain. Laboratory tests show elevated inflammatory markers.A diagnosis of postcardiotomy syndrome is established based on clinical presentation and laboratory findings., A 50-year-old patient undergoes cardiac surgery for congenital heart defect correction.During postoperative recovery, the patient presents with symptoms suggestive of pericarditis and elevated inflammatory markers. The diagnosis of postcardiotomy syndrome is made and further investigations are carried out to exclude other potential causes.

Complete medical history including details of the cardiac surgery,physical examination findings, laboratory results (complete blood count, inflammatory markers, cardiac biomarkers), echocardiogram report, electrocardiogram report, and any other relevant diagnostic imaging results.Documentation should clearly describe the patient's symptoms, their temporal relationship to the cardiac procedure, and the rationale for the diagnosis of postcardiotomy syndrome.

** Postcardiotomy syndrome is a relatively uncommon but potentially serious complication of cardiac surgery.Prompt diagnosis and appropriate management are essential to prevent life-threatening complications.

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