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I01.0

Billable

Acute rheumatic pericarditis

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Inflammation of the sac surrounding the heart that occurs as a complication of acute rheumatic fever, typically following a streptococcal infection.

Coding Tips

  • Always verify the acute phase of rheumatic fever is documented; this code is for the acute inflammatory stage only
  • Link to the underlying streptococcal infection when applicable to provide complete clinical picture

Excludes 1 — Do NOT code together

  • acute pericarditis not specified as rheumatic (I30.-)

Code Hierarchy

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