ICD CODES

ICD Code I42-

ICD code I42- is used to classify and identify different types of cardiomyopathy, a disease of the heart muscle, for accurate medical records.

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What is ICD diagnosis code I42-

ICD code I42- is cardiomyopathy, which refers to diseases of the heart muscle that make it harder for the heart to pump blood to the rest of the body.

When to use ICD code I42-

1. Presence of symptoms such as shortness of breath, fatigue, or palpitations not explained by other conditions

2. Evidence of abnormal heart structure or function on imaging studies (e.g., echocardiogram, MRI)

3. Documentation of ventricular dilation, hypertrophy, or restrictive filling patterns

4. Exclusion of ischemic, valvular, hypertensive, or congenital heart disease as the primary cause

5. Family history suggestive of a genetic or familial cardiac disorder

6. Laboratory or biopsy findings supporting a primary myocardial disease

7. Clinical course characterized by progressive heart failure, arrhythmias, or sudden cardiac events

Billable CPT codes for ICD code I42-

Relevant CPT codes that may be used to treat ICD code I42- include:

- 93306 (Echocardiography, transthoracic, complete)

- 93000 (Electrocardiogram, routine ECG with at least 12 leads)

- 93451 (Right heart catheterization)

- 93452 (Left heart catheterization)

- 92928 (Percutaneous transcatheter placement of intracoronary stent)

- 99214 (Office or other outpatient visit, established patient, moderate complexity)

- 99223 (Initial hospital care, high complexity)

- 96372 (Therapeutic, prophylactic, or diagnostic injection)

- 36415 (Collection of venous blood by venipuncture)

- 80061 (Lipid panel)

These CPT codes are commonly associated with the management and treatment of conditions identified by ICD code I42-.

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See how MD Clarity’s RevFind software can automatically read your payer contracts and identify underpayments for CPT codes associated with ICD code I42-. Schedule a demo today to ensure your practice is capturing every dollar it’s owed.

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