Valid for Submission
I31.4 is a billable diagnosis code used to specify a medical diagnosis of cardiac tamponade. The code I31.4 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code I31.4 might also be used to specify conditions or terms like cardiac tamponade.
The code I31.4 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code I31.4:
Code FirstCode First
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
- underlying cause
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code I31.4 are found in the index:
- - Tamponade, heart - I31.4
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Cardiac tamponade
- CARDIAC TAMPONADE-. compression of the heart by accumulated fluid pericardial effusion or blood hemopericardium in the pericardium surrounding the heart. the affected cardiac functions and cardiac output can range from minimal to total hemodynamic collapse.
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|314||OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC||05||2.0834|
|315||OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC||05||0.9752|
|316||OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC||05||0.7495|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert I31.4 to ICD-9 Code
Information for Patients
The pericardium is a membrane, or sac, that surrounds your heart. It holds the heart in place and helps it work properly. Problems with the pericardium include
- Pericarditis - an inflammation of the sac. It can be from a virus or other infection, a heart attack, heart surgery, other medical conditions, injuries, and certain medicines.
- Pericardial effusion - the buildup of fluid in the sac
- Cardiac tamponade - a serious problem in which buildup of fluid in the sac causes problems with the function of the heart
Symptoms of pericardial problems include chest pain, rapid heartbeat, and difficulty breathing. Fever is a common symptom of acute pericarditis. Your doctor may use a physical exam, imaging tests, and heart tests to make a diagnosis. Treatment depends on the cause.
NIH: National Heart, Lung, and Blood Institute
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