I01.0
Acute rheumatic pericarditis
Clinical Classification Guidelines
Inclusion Terms
- Any condition in I00 with pericarditis
- Rheumatic pericarditis (acute)
Excludes Type 1
- acute pericarditis not specified as rheumatic (I30.-)
Medical Intelligence & Overview
Acute rheumatic pericarditis is an inflammation of the pericardium—the thin sac surrounding the heart—caused by rheumatic fever. It often develops as a complication of untreated or inadequately treated streptococcal infections, like strep throat. This condition can lead to chest pain and other symptoms, requiring prompt medical attention to prevent further heart complications. Recognized under ICD-10 code I01.0, this form of pericarditis specifically results from rheumatic fever, which is an autoimmune response following a streptococcal infection.
Causes & Symptoms
Clinical Causes: Rheumatic fever following untreated or inadequately treated streptococcal infections Autoimmune response where the body's immune system attacks the pericardium Genetic predisposition increasing susceptibility to rheumatic fever Recent history of sore throat or scarlet fever
Key Symptoms: Sharp or stabbing chest pain that may worsen with deep breathing, coughing, or lying down Relief of chest pain when sitting up or leaning forward Fever and chills Shortness of breath or rapid breathing Fatigue and general feeling of illness Pericardial rub—a scratching or grating sound heard with a stethoscope Swelling in the legs or abdominal area in some cases
Diagnostic & Treatment
Diagnosis Path: Diagnosing acute rheumatic pericarditis involves a combination of medical history, physical examination, and diagnostic tests. Physicians look for characteristic chest pain and listen for a pericardial rub. Diagnostic assessments may include:
Treatment Protocols: The primary goals of treatment are to reduce inflammation, manage symptoms, and address the underlying rheumatic fever. Common approaches include:
Clinical Advice & FAQs
Billing Guidance
Is I01.0 a billable ICD-10 code?
Yes, I01.0 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report I01.0?
Clinical documentation must specify the nature of Acute rheumatic pericarditis and any associated comorbidities for accurate reporting.
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