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I31.0

Billable

Chronic adhesive pericarditis

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

What This Code Means

Long-term inflammation of the heart's outer lining that causes scar tissue and adhesions, restricting heart movement.

Coding Tips

  • Verify the pericarditis is documented as chronic (typically lasting more than 3 months) before assigning this code
  • Do not use this code if the adhesions are causing constriction; use I31.1 instead

Code Hierarchy

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