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I31.4

Billable

Cardiac tamponade

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

What This Code Means

A life-threatening condition where fluid or blood around the heart compresses it, preventing normal filling and reducing blood flow to the body.

Coding Tips

  • This is an emergent condition requiring immediate intervention; ensure documentation reflects acute presentation
  • Code the underlying cause (trauma, malignancy, infection) as an additional diagnosis

Code First

  • underlying cause

Code Hierarchy

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