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2025 ICD-10-CM code I42.1

Obstructive hypertrophic cardiomyopathy. Hypertrophic subaortic stenosis (idiopathic).

It is important to differentiate between obstructive and non-obstructive hypertrophic cardiomyopathy, as this affects the coding and treatment approach. If both hypertension and hypertrophic cardiomyopathy are present, both diagnoses should be coded.

Medical necessity for treatment is established based on the presence of symptoms, severity of obstruction, and the potential for complications such as heart failure, arrhythmias, or sudden cardiac death.

Diagnosis and management of this condition typically falls under the purview of cardiologists. They are responsible for diagnosing the condition, assessing its severity, and determining the appropriate course of treatment, which may involve medication, lifestyle modifications, or surgical intervention in severe cases.

In simple words: This condition involves a thickening of the heart muscle, making it harder for the heart to pump blood effectively.

A condition characterized by thickening of the heart muscle (myocardium), primarily affecting the interventricular septum, which obstructs the flow of blood from the left ventricle. This obstruction can lead to various symptoms, including shortness of breath, chest pain, and syncope.

Example 1: A 45-year-old patient presents with shortness of breath, chest pain, and dizziness during exercise. After a thorough examination, including an echocardiogram and cardiac MRI, they are diagnosed with obstructive hypertrophic cardiomyopathy., A 25-year-old athlete experiences syncope during a strenuous training session. Subsequent cardiac testing reveals obstructive hypertrophic cardiomyopathy, requiring them to restrict their athletic activities., A 60-year-old patient with a family history of hypertrophic cardiomyopathy undergoes routine cardiac screening, which reveals asymptomatic obstructive hypertrophic cardiomyopathy. They are placed on medication to manage the condition and prevent potential complications.

Complete medical history, physical exam findings, echocardiogram results, cardiac MRI findings, electrocardiogram (ECG) results, and genetic testing results (if applicable) are typically required for accurate documentation of this condition.

** Genetic testing may be recommended for patients with a family history of hypertrophic cardiomyopathy or those diagnosed at a young age. Regular monitoring is crucial for managing the progression of the disease and detecting potential complications.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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