2025 ICD-10-CM code I39
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the circulatory system - Endocarditis and heart valve disorders Diseases of the circulatory system (I00-I99) Feed
Endocarditis and heart valve disorders occurring in the context of other diseases.
Modifiers may be applicable depending on the specific circumstances of the case.Consult the official coding guidelines and payer-specific requirements.
Medical necessity is established by the presence of clinically significant symptoms and/or findings that indicate endocarditis or heart valve dysfunction secondary to an underlying condition.Appropriate diagnostic testing and treatment are required for proper documentation.
The clinical responsibility for this code involves diagnosing and managing both the underlying disease and the resulting endocarditis or heart valve disorder. This would include a thorough history and physical examination, appropriate diagnostic testing (e.g., blood cultures, echocardiogram), and treatment tailored to the specific condition and patient. The physician's role is to determine the underlying cause of the endocarditis or heart valve disorder and to coordinate treatment plans accordingly.
In simple words: This code means there's inflammation of the heart's inner lining or a problem with the heart valves, but it's happening because of another health issue. The doctor will also use a code for that other issue.
This code is used when endocarditis (inflammation of the inner lining of the heart) or heart valve disorders are present as a complication or manifestation of another underlying disease.It should be coded in addition to the code for the primary underlying condition.Examples of underlying conditions include, but are not limited to, infectious diseases (bacterial, fungal, viral), systemic autoimmune diseases, or drug reactions.The code I39 does not specify the type of endocarditis or heart valve disorder;further specification may be possible with additional codes.
Example 1: A patient with a history of intravenous drug use presents with fever, chills, and a new heart murmur.Blood cultures reveal Staphylococcus aureus, indicating infective endocarditis.Code I39 would be used in addition to codes for the infective endocarditis and the underlying drug use., A patient with systemic lupus erythematosus (SLE) develops Libman-Sacks endocarditis. Code I39 would be used in addition to the code for SLE., A patient with a prosthetic heart valve develops endocarditis due to a fungal infection. Code I39 would be used, along with codes for the specific type of endocarditis and the fungal infection.
Documentation should include a complete history and physical exam, results of blood cultures (if applicable), echocardiogram report, and any other relevant diagnostic testing. Documentation must clearly identify the underlying disease and the presence of endocarditis or heart valve disorders.If a prosthetic heart valve is involved, that should be explicitly stated.
** This code is intended for use when endocarditis or heart valve disorders are secondary to another condition.It is crucial to accurately code the underlying disease as the primary diagnosis.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Specialties:Cardiology, Infectious Disease, Rheumatology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office