Rheumatic chorea (I02)
The ICD-10 code I02 and its subcodes specifically identify cases of rheumatic chorea, a neurological disorder linked to rheumatic fever. The codes distinguish between symptoms with and without heart involvement.
The code I02.0 is used when rheumatic chorea affects the heart, often referred to by synonyms such as "autoimmune movement disorder," "carditis due to rheumatic fever," or "chorea due to immunological disorder." This code is crucial in documenting cases where rheumatic fever causes both movement problems and inflammation of the heart (endocarditis). Conversely, I02.9 applies to rheumatic chorea without heart complications. It covers terms like "secondary tic disorder" and focuses on movement disorders following an infectious cause but without cardiac involvement. Using these precise codes helps clinicians and coders capture the specific presentation of rheumatic chorea, whether or not it includes cardiac disease.
Diseases of the circulatory system (I00–I99)
Acute rheumatic fever (I00-I02)
I02 Rheumatic chorea
- I02.0 Rheumatic chorea with heart involvement
- I02.9 Rheumatic chorea without heart involvement
Rheumatic chorea (I02)
Instructional Notations
Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- Sydenham's chorea
Type 1 Excludes
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.