Diagnosis Code 425.11. ICD-9: 425.11. Short Description: Hyprtrophc obst cardiomy. Long Description: Hypertrophic obstructive cardiomyopathy. This is the 2014 version of the ICD-9-CM diagnosis code 425.11. Code Classification.
All ischemic cardiomyopathies are classified to code 414.8 (AHA Coding Clinic for ICD-9-CM, 1990, third quarter, page 15). • Hypertrophic cardiomyopathy is an abnormal growth or thickening of the ventricle walls that causes a decrease in the amount of blood delivered to the body.
• Dilated cardiomyopathy (ICD-9-CM code 425.4) is the most common type in which the left ventricle becomes enlarged and can no longer pump blood throughout the body. This type generally occurs in middle-aged people. When the cardiomyopathy is associated with alcoholism, assign code 425.5 for alcoholic cardiomyopathy.
When the cardiomyopathy is associated with alcoholism, assign code 425.5 for alcoholic cardiomyopathy. The most common type of dilated cardiomyopathy develops after a heart attack and is called ischemic cardiomyopathy (414.8). All ischemic cardiomyopathies are classified to code 414.8 ( AHA Coding Clinic for ICD-9-CM, 1990, third quarter, page 15).
I42. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM I42. 9 became effective on October 1, 2021.
Idiopathic cardiomyopathy (ICM) is a primary cardiac disorder associated with abnormalities of ventricular wall thickness, size of ventricular cavity, contraction, relaxation, conduction and rhythm.
Restrictive cardiomyopathy. Restrictive cardiomyopathy can occur for no known reason (idiopathic), or it can by caused by a disease elsewhere in the body that affects the heart, such as amyloidosis.
Sometimes, experts don't know the cause of cardiomyopathy (idiopathic). Some factors or conditions can increase your risk of cardiomyopathy, including: Autoimmune diseases, such as connective tissue diseases. Conditions that damage the heart, such as high cholesterol diseases, hemochromatosis or sarcoidosis.
Echocardiogram. This is the main test for diagnosing dilated cardiomyopathy. Sound waves produce images of the heart in motion. An echocardiogram shows how blood moves in and out of the heart and heart valves.
The main types of cardiomyopathy are: Dilated cardiomyopathy. Hypertrophic cardiomyopathy. Restrictive cardiomyopathy.
Origin of DCM: Importance of Genetic Factors In cases where the cause of DCM is unknown, the condition is called “idiopathic” dilated cardiomyopathy. About one-third to one-half of patients with idiopathic DCM have a family history of the disease in one or more relatives.
In congestive cardiomyopathy, also called dilated cardiomyopathy, the heart becomes stretched and weakened and is unable to pump effectively. Heart failure occurs when the heart does not pump strongly enough to meet the needs of the body.
Cardiomyopathies are diseases of the myocardium associated with cardiac dysfunction, often resulting in the clinical syndrome of heart failure. Dilated cardiomyopathy is defined as an ejection fraction of lower than 40% in the presence of increased left ventricular dimensions.
Although there have been recent improvements in congestive heart failure treatment, researchers say the prognosis for people with the disease is still bleak, with about 50% having an average life expectancy of less than five years.
The majority of patients with hypertrophic cardiomyopathy have no symptoms and most have a near-normal life expectancy. In some cases, sudden cardiac death is the first symptom of the illness. Patients who have symptoms at a younger age often have higher mortality rates.
Signs and symptoms of cardiomyopathy include:Shortness of breath or trouble breathing, especially with physical exertion.Fatigue.Swelling in the ankles, feet, legs, abdomen and veins in the neck.Dizziness.Lightheadedness.Fainting during physical activity.Arrhythmias (abnormal heartbeats)More items...•
The majority of patients with hypertrophic cardiomyopathy have no symptoms and most have a near-normal life expectancy. In some cases, sudden cardiac death is the first symptom of the illness. Patients who have symptoms at a younger age often have higher mortality rates.
Although there have been recent improvements in congestive heart failure treatment, researchers say the prognosis for people with the disease is still bleak, with about 50% having an average life expectancy of less than five years.
In congestive cardiomyopathy, also called dilated cardiomyopathy, the heart becomes stretched and weakened and is unable to pump effectively. Heart failure occurs when the heart does not pump strongly enough to meet the needs of the body.
Over the last 10 years, there has been a realisation that heart failure (itself the final common pathway of several aetiologies such as hypertension, ischaemic and valvular heart disease, and cardiomyopathy) is a terminal illness.
A group of diseases in which the dominant feature is the involvement of the cardiac muscle itself. Cardiomyopathies are classified according to their predominant pathophysiological features (dilated cardiomyopathy; hypertrophic cardiomyopathy; restrictive cardiomyopathy) or their etiological/pathological factors (cardiomyopathy, alcoholic; endocardial fibroelastosis)
Disease characterized by thickening of the endocardium, and frequently the inner third of the myocardium; left ventricle is most frequently involved
Report code 425.4 only for primary CMP, which is intrinsic disease of the heart muscle not caused by other conditions
Assign code 425.4 to all primary or idiopathic conditions of the heart that cause functional change
A quick Google search yields a variety of causes of CMP. There are specific ICD-9-CM codes in the 425 code series for each type of CMP. For example, codes 425.11 and 425.18 denote idiopathic hypertrophic CMP with or without obstruction, respectively.
Some very rare CMPs are also specifically named in this section. Two examples are endocardial fibroelastosis (code 425.3) and obscure CMP of Africa (code 425.2).
When a patient has CMP that is secondary to another condition (and the cause is unknown) coders should report code 425.9 (secondary CMP, unspecified).
The term “idiopathic” means that the physician cannot determine the cause of the CMP despite extensive workup. If the physician can determine the cause, then by definition it’s secondary CMP.
Cardiomyopathy (CMP), a disease that affects the heart muscle, is an example of a diagnosis that is frequently misreported due to inaccurate guidance.
A group of diseases in which the dominant feature is the involvement of the cardiac muscle itself. Cardiomyopathies are classified according to their predominant pathophysiological features (dilated cardiomyopathy; hypertrophic cardiomyopathy; restrictive cardiomyopathy) or their etiological/pathological factors (cardiomyopathy, alcoholic; endocardial fibroelastosis).
The 2022 edition of ICD-10-CM I42.9 became effective on October 1, 2021.
Condition in which there is a deviation from or interruption of the normal structure or function of the myocardium, the middle and thickest layer of the heart wall, composed of heart muscle.
425.8 is a legacy non-billable code used to specify a medical diagnosis of cardiomyopathy in other diseases classified elsewhere. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
Heart attacks, high blood pressure, infections, and other diseases can all cause cardiomyopathy. Some types of cardiomyopathy run in families. In many people, however, the cause is unknown. Treatment might involve medicines, surgery, other medical procedures, and lifestyle changes.
NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
Cardiomyopathy is the name for diseases of the heart muscle. These diseases enlarge your heart muscle or make it thicker and more rigid than normal. In rare cases, scar tissue replaces the muscle tissue.
Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-9 Code Edits are applicable to this code:
Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
There are three types of cardiomyopathy: • Dilated cardiomyopathy (ICD-9-CM code 425.4) is the most common type in which the left ventricle becomes enlarged and can no longer pump blood throughout the body. This type generally occurs in middle-aged people.
For The Record. Vol. 23 No. 10 P. 27. Cardiomyopathy is a progressive disease of the heart muscle with no known etiology. The condition makes it difficult for the heart to pump blood throughout the body. Although it may develop secondarily to a disease elsewhere in the body, such as coronary artery disease or valvular heart disease, ...
Hypertropic cardiomyopathy may be treated with medications such as beta blockers and calcium channel blockers to slow the heart’s pumping action and stabilize heart rhythms. If medications don’t work, then one of the following procedures may be recommended: septal myectomy, septal ablation, pacemaker implantation, or an implantable cardioverter defibrillator.
Dilated cardiomyopathy may be treated with the following medications: an angiotensin-converting enzyme inhibitor to improve the heart’s pumping ability; an angiotensin receptor blocker; digoxin/digitalis to increase the strength of the heart muscle contractions and possibly slow the heartbeat; a diuretic to reduce fluid retention; or a beta blocker to improve cardiac function.
If the cardiomyopathy has progressed to end stage, the patient will need a heart transplant.
This type of cardiomyopathy usually affects older people. Physicians may use the term “congestive cardiomyopathy, ” which is also referred to as dilated cardiomyopathy and is characterized by ventricular dilation, contractile dysfunction, and symptoms of chronic heart failure (CHF).
After a thorough physical examination, the physician may perform the following diagnostic tests if cardiomyopathy is suspected: a chest x-ray to determine whether the heart is enlarged; an echocardiogram to view the size of the heart and the motion as it beats; an electrocardiogram to show disturbances in the heart’s electrical activity to detect abnormal rhythms and areas of injury; cardiac MRI; cardiac catheterization to measure pressure within the heart chambers; or blood tests such as B-type natriuretic peptide, a protein produced in the heart that rises when the heart is subjected to the stress of CHF.
I42.9 is a billable ICD code used to specify a diagnosis of cardiomyopathy, unspecified. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
Tachycardia induced cardiomyopathy, also known as chronotropic cardiomyopathy and tachycardiomyopathy, is an impairment of the pumping efficiency of the myocardium (the muscle of the heart) due to prolonged periods of a fast heart rate or irregular heart rhythm.
This means that while there is no exact mapping between this ICD10 code I42.9 and a single ICD9 code, 425.9 is an approximate match for comparison and conversion purposes.