Diagnosis Code 421.1
Information for Medical Professionals
The following edits are applicable to this code:
Manifestations not allowed as principal diagnosis Manifestations not allowed as principal diagnosis
Manifestations not allowed as principal diagnosis: Manifestation codes describe the manifestation of an underlying disease, not the disease itself, and therefore should not be used as a principal diagnosis.
Convert to ICD-10 General Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
- I39 - Endocarditis and heart valve disord in dis classd elswhr (approximate) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
Index of Diseases and Injuries
References found for the code 421.1 in the Index of Diseases and Injuries:
- Endocarditis (chronic) (indeterminate) (interstitial) (marantic) (nonbacterial thrombotic) (residual) (sclerotic) (sclerous) (senile) (valvular) 424.90
- blastomycotic 116.0 [421.1]
- due to
- blastomycosis 116.0 [421.1]
- Q fever 083.0 [421.1]
- typhoid (fever) 002.0 [421.1]
- typhoid 002.0 [421.1]
- Typhoid (abortive) (ambulant) (any site) (fever) (hemorrhagic) (infection) (intermittent) (malignant) (rheumatic) 002.0
- endocarditis 002.0 [421.1]
Information for Patients
Endocarditis, also called infective endocarditis (IE), is an inflammation of the inner lining of the heart. The most common type, bacterial endocarditis, occurs when germs enter your heart. These germs come through your bloodstream from another part of your body, often your mouth. Bacterial endocarditis can damage your heart valves. If untreated, it can be life-threatening. It is rare in healthy hearts.
Risk factors include having
- An abnormal or damaged heart valve
- An artificial heart valve
- Congenital heart defects
The signs and symptoms of IE can vary from person to person. They also can vary over time in the same person. Symptoms you might notice include fever, shortness of breath, fluid buildup in your arms or legs, tiny red spots on your skin, and weight loss. Your doctor will diagnose IE based on your risk factors, medical history, signs and symptoms, and lab and heart tests.
Early treatment can help you avoid complications. Treatment usually involves high-dose antibiotics. If your heart valve is damaged, you may need surgery.
If you're at risk for IE, brush and floss your teeth regularly, and have regular dental checkups. Germs from a gum infection can enter your bloodstream. If you are at high risk, your doctor might prescribe antibiotics before dental work and certain types of surgery.
NIH: National Heart, Lung, and Blood Institute
- Culture-negative endocarditis