what is the correct icd 10 code for pericardial effusion

by Prof. Maverick Kutch PhD 10 min read

ICD-10 code I31. 3 for Pericardial effusion (noninflammatory) is a medical classification as listed by WHO under the range - Diseases of the circulatory system .

What type of cancer causes pericardial effusion?

What Causes Pericardial Effusion?

  • Autoimmune conditions including lupus and rheumatoid arthritis
  • Bleeding into the pericardial cavity
  • Chemotherapy including doxorubicin and cyclophosphamide

What is the treatment for pericardial effusion?

Treatment for pericardial effusion depends on:

  • The amount of fluid buildup
  • The cause of pericardial effusion
  • The presence or risk of cardiac tamponade

What is the cause and treatment for pericardial effusion?

Treatment for pericardial effusion is based on the cause and extent of fluid accumulation. When buildup is minimal, treatment emphasizes pain and swelling reduction. When buildup is extensive, hospitalization and surgery may be required. Pain Relief. The following drugs have proven useful in treating pericardial effusion:

How is pericardial effusion classified?

Pericardial effusion (PE) is a common disease of the pericardium in dogs and cats and is characterized by accumulation of increased amount of fluid in the pericardial sac. PE is classified on the basis of physical and cytological characteristics of the pericardial fluid.

What is pericardial effusion?

(PAYR-ih-KAR-dee-ul eh-FYOO-zhun) A condition in which extra fluid collects between the heart and the pericardium (the sac around the heart). The extra fluid causes pressure on the heart. This keeps it from pumping blood normally. Lymph vessels may also be blocked, which can cause infection.

Do you code for trivial pericardial effusion?

I31. 3 - Pericardial effusion (noninflammatory) | ICD-10-CM.

What is another name for pericardial effusion?

Pericardial effusion is an accumulation of fluid in the pericardium, the sac that holds your heart. When it happens quickly or involves a large amount of fluid, the excess fluid can take up too much space in the pericardium, compressing your heart and causing a life-threatening condition known as cardiac tamponade.

Is pericardial effusion the same as pericarditis?

If the tissue layers become inflamed, they rub against the heart and cause chest pain. If extra fluid builds up between the tissue layers, it's called pericardial effusion. Pericarditis is usually mild. It often goes away on its own or with rest and basic treatment.

Do you code pericardial effusion with CHF?

Most of the time, though, pleural effusion won't be coded along with congestive heart failure.

What is the most common cause of pericardial effusion?

Lung cancer is the most common cause of the malignant pericardial effusion. Trauma: Blunt, penetrating, and iatrogenic injury to the myocardium, aorta, or coronary vessels can lead to the accumulation of blood within the pericardial sac.

What are the types of pericardial effusion?

transudative effusion: due to non-inflammatory causes (congestive heart failure , myxoedema , nephrotic syndrome ) exudative effusion: inflammatory or malignant causes (tuberculosis , spread from empyema , metastasis) hemorrhagic effusion: high blood concentration (trauma, rupture of aneurysms, malignant effusion)

What is the medical term for fluid around the heart?

Overview. Pericardial effusion (per-e-KAHR-dee-ul uh-FU-zhun) is the buildup of too much fluid in the double-layered, saclike structure around the heart (pericardium).

How can you tell the difference between cardiac tamponade and pericardial effusion?

DefinitionPericardial effusion: an accumulation of fluid in the pericardial space between the parietal and visceral pericardium. ... Cardiac tamponade: a pathophysiological process whereby elevated intrapericardial pressure from a pericardial effusion causes compression of the heart (especially the right ventricle)

What is the difference between acute pericarditis and pericardial effusion?

Acute pericarditis is the most common pericardial disease and in most instances is accompanied by pericardial effusion. On the other hand, pericardial effusion may appear as a separate clinical entity occasionally characterized by absence of inflammatory markers elevation.

How is pericardial effusion diagnosed?

Tests to diagnose or confirm pericardial effusion may include:Echocardiogram. Sound waves are used to create pictures of the heart in motion. ... Electrocardiogram (ECG or EKG). This quick and painless test measures the electrical activity of the heart. ... Chest X-ray.

What are two classic findings of pericarditis?

Characteristic clinical findings in pericarditis include pleuritic chest pain and pericardial friction rub on auscultation of the left lower sternal border. Electrocardiography may reveal diffuse PR-segment depressions and diffuse ST-segment elevations with upward concavity.

The ICD code I313 is used to code Pericardial effusion

Pericardial effusion ("fluid around the heart") is an abnormal accumulation of fluid in the pericardial cavity. Because of the limited amount of space in the pericardial cavity, fluid accumulation leads to an increased intrapericardial pressure which can negatively affect heart function.

Coding Notes for I31.3 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.

ICD-10-CM Alphabetical Index References for 'I31.3 - Pericardial effusion (noninflammatory)'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code I31.3. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code I31.3 and a single ICD9 code, 423.9 is an approximate match for comparison and conversion purposes.

Pericardial Effusion Drainage

Patient is status post CABG. Returned to the OR during same hospitalization for sternal rewiring due to sternal dehiscence (secondary to chronic coughing). Patient also has drainage of posterior pericardial effusion. Is it correct to bill both codes 21750 and 33019 with modifier -78? If so, do either of these codes need modifier -51 or -59?

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