2025 ICD-10-CM code I09.2
(Active) Effective Date: N/A Diseases of the circulatory system - Chronic rheumatic heart diseases IX Feed
Chronic rheumatic pericarditis.
Medical necessity must be established by demonstrating the presence of chronic rheumatic pericarditis based on the patient's history, clinical presentation, and diagnostic findings.Treatment is necessary to manage symptoms, prevent complications, and improve the patient's quality of life.
Diagnosis and management of chronic rheumatic pericarditis falls under the purview of cardiology.The physician is responsible for accurate diagnosis, assessing the severity of the condition, and implementing an appropriate treatment plan. This may involve medication for inflammation and pain management, monitoring for complications like cardiac tamponade or constrictive pericarditis, and providing patient education about the condition and its management.
In simple words: This code describes a long-term inflammation of the heart's lining due to rheumatic fever.
Chronic rheumatic pericarditis is a chronic inflammation of the pericardium, the sac surrounding the heart, resulting from rheumatic fever.It can present as adherent pericardium,rheumatic mediastinopericarditis (inflammation of the pericardium and mediastinum), or rheumatic myopericarditis (inflammation of the pericardium and myocardium).
Example 1: A 50-year-old patient with a history of rheumatic fever presents with chest pain and shortness of breath.An echocardiogram reveals pericardial thickening consistent with chronic rheumatic pericarditis., A 30-year-old patient experiences recurrent episodes of sharp chest pain. Following a thorough evaluation, including imaging and blood tests, they receive a diagnosis of chronic rheumatic myopericarditis, a complication of a previous rheumatic fever infection., During a routine check-up, a patient with a known history of rheumatic fever is found to have an enlarged heart on a chest X-ray.Further investigation with a CT scan shows evidence ofmediastinopericarditis. Consequently, the patient's condition is documented as chronic rheumatic mediastinopericarditis.
Documentation should include evidence of prior rheumatic fever, symptoms such as chest pain, shortness of breath, or palpitations, physical exam findings, imaging results (e.g., echocardiogram, CT scan) showing pericardial thickening, effusion, or calcification, and any other relevant laboratory or diagnostic test results.
** This code represents a chronic condition and may require ongoing monitoring and management.
- Specialties:Cardiology, Internal Medicine, Rheumatology
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office, Independent Clinic