icd 10 code for amitriptyline-induced left ventricular outflow tract obstruction

by Delphia Hammes 3 min read

Full Answer

What are left ventricular outflow tract obstructions?

Left ventricular outflow tract obstructions involve stenotic lesions starting in the anatomic left ventricular outflow tract and stretching to the descending portion of the aortic arch. Obstruction can be valvar, subvalvar, or supravalvar. Obstructions to forward flow can present alone or in concert.

What are the electrocardiogram findings for left ventricle obstruction?

The electrocardiogram is usually normal. However, with isolated forms of LVOT obstruction, left ventricular hypertrophy and left axis deviation may be present. Transthoracic echocardiography will often demonstrate a focal or diffuse narrowing of the LVOT.

What is the pathophysiology of hypertrophy of left ventricle?

HCM is characterized by disorganized myocytes which lead to hypertrophy of the left ventricle, usually the septum. However, hypertrophy can be extensive involving the LV free wall as well. It is an autosomal dominant disease with equal prevalence in males and females.

What happens if left ventricle is blocked?

In general, there is an obstruction to forward flow which increases afterload, and if untreated, can result in hypertrophy, dilatation, and eventual failure of the left ventricle. In the United States, most cases of LVOT obstruction are congenital in individuals younger than 50 years of age.[1]

What is the ICD-10 code for I42 9?

Coding for Cardiomyopathy in ICD-10-CM I42. 9, Cardiomyopathy, unspecified (includes cardiomyopathy [primary] [secondary] NOS).

What is the ICD-10 code for endocardial Fibroelastosis?

ICD-10-CM Code for Endocardial fibroelastosis I42. 4.

Is Left ventricular hypertrophy the same as cardiomegaly?

When the aortic or mitral valves are leaking, the left ventricle adapts to the increased volume load by getting larger. This results in cardiomegaly. If the aortic valve is narrow, this results in an obstruction to the left ventricle which develops hypertrophy and cardiomegaly.

What is LVH?

Left ventricular hypertrophy, or LVH, is a term for a heart's left pumping chamber that has thickened and may not be pumping efficiently. Sometimes problems such as aortic stenosis or high blood pressure overwork the heart muscle.

What is endocardial Fibroelastosis?

Endocardial fibroelastosis (EFE) is a rare heart disorder that affects infants and children. It is characterized by a thickening within the muscular lining of the heart chambers due to an increase in the amount of supporting connective tissue (inelastic collagen) and elastic fibers.

What does ARVD stand for?

It was previously called arrhythmogenic right ventricular dysplasia (ARVD). ARVC typically begins in a small part of the right ventricle. Over time, the disease slowly affects more of the right ventricle. Sometimes the left ventricle is affected, too. This can lead to abnormal heart rhythms, and sometimes sudden death.

What is the most common cause of left ventricular hypertrophy?

High blood pressure (hypertension). This is the most common cause of left ventricular hypertrophy. More than one-third of people show evidence of left ventricular hypertrophy at the time of their diagnosis with hypertension.

What's the difference between cardiomegaly and cardiomyopathy?

Dilated cardiomyopathy is the most common type of cardiomegaly. In this condition, the walls of the left and/or right ventricles of the heart become thin and stretched. The result is an enlarged heart. In the other types of cardiomegaly, the heart's large muscular left ventricle becomes abnormally thick.

What is the difference between hypertrophy and cardiomyopathy?

Hypertrophic cardiomyopathy (HCM) is a disease that causes your heart muscle to enlarge (hypertrophy). Most people who have it can have a normal life, but it can be serious for some people.

What causes left ventricular enlargement?

The most common cause of left ventricular hypertrophy is high blood pressure (hypertension). High blood pressure makes your heart work harder than normal. The extra work it takes to pump blood can cause the muscle in the left ventricle walls to get larger and thicker.

Is left ventricular hypertrophy considered heart disease?

Structural remodeling of the heart, referred to as left ventricular hypertrophy (LVH), is a critical consequence of systemic hypertension and the anatomical precursor of a spectrum of cardiovascular abnormalities, which are collectively referred to as hypertensive heart disease.

What is the diagnosis of LVH?

Echocardiogram can reveal thickened muscle tissue in the left ventricle, blood flow through the heart with each beat, and heart abnormalities related to left ventricular hypertrophy, such as aortic valve stenosis. MRI. Images of your heart can be used to diagnose left ventricular hypertrophy.

Peripheral vascular disease, unspecified

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Other diseases of pulmonary vessels

I95 Hypotension. A type 2 excludes note represents "not included here".

Other hypothyroidism

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Hypothyroidism, unspecified

N14 Drug- and heavy-metal-induced tubulo-interstitial and tubular conditions.

Obstructive and reflux uropathy

I44 Atrioventricular and left bundle-branch block. I43 Cardiomyopathy in diseases classified elsewhere.

Other congenital malformations of heart

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Obstructive and reflux uropathy, unspecified

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