2025 ICD-10-CM code I31.1
(Active) Effective Date: N/A Diseases of the circulatory system - Other forms of heart disease IX Feed
Chronic constrictive pericarditis.This involves the pericardium, the sac surrounding the heart, becoming thickened and restricting the heart's movement.
Medical necessity for services related to chronic constrictive pericarditis should be supported by documentation demonstrating the severity of the condition, impact on the patient's functional status, and the rationale for the chosen treatment approach. This could include evidence of impaired cardiac function, presence of symptoms like shortness of breath or chest pain, and the expected benefit of intervention.
Diagnosis and treatment of chronic constrictive pericarditis falls under the purview of cardiology. Cardiologists are responsible for diagnosing the condition, typically through imaging studies like echocardiography and CT scans, as well as physical examination and review of patient history. Treatment options, which cardiologists manage, may involve medications to reduce inflammation and fluid buildup, or in more severe cases, surgical intervention like pericardiectomy to remove the thickened pericardium. Patient education and long-term monitoring are also crucial aspects of clinical responsibility.
In simple words: The sac around your heart has become thick and stiff, making it hard for your heart to fill with blood.This can make you tired and short of breath, and cause swelling in your legs and belly.
Chronic constrictive pericarditis is a condition characterized by the thickening and scarring of the pericardium, the sac surrounding the heart.This thickening and scarring constricts the heart, preventing it from filling properly.Symptoms can include fatigue, shortness of breath, and swelling in the legs and abdomen.Concretio cordis and Pericardial calcification are related terms.
Example 1: A patient presents with fatigue, shortness of breath, and leg swelling. After diagnostic tests, including an echocardiogram and CT scan, they are diagnosed with chronic constrictive pericarditis. The cardiologist prescribes diuretics to manage fluid buildup and schedules a follow-up to monitor their condition., A patient with a history of tuberculosis develops chronic constrictive pericarditis. The cardiologist performs a pericardiectomy to remove the thickened pericardium, alleviating the pressure on the heart and improving cardiac function., A patient experiencing chest pain and discomfort is found to have pericardial calcification, a form of chronic constrictive pericarditis.The cardiologist manages their condition with medication and lifestyle changes to minimize symptoms and improve quality of life.
Documentation should include the patient's medical history, presenting symptoms, physical exam findings, and results of imaging studies such as echocardiography, CT, or MRI.It should also include details of the treatment plan, whether medical or surgical, and any follow-up care.
- Specialties:Cardiology, Cardiothoracic Surgery
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office