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I31.1

Billable

Chronic constrictive pericarditis

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

What This Code Means

A chronic condition where the heart's outer lining becomes thick and stiff, restricting the heart's ability to fill with blood properly.

Coding Tips

  • This code indicates the pericardium is constricting cardiac function; ensure documentation supports this functional limitation
  • May require additional codes for resulting heart failure or hemodynamic compromise

Code Hierarchy

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