Unspecified injury of heart without hemopericardium, sequela

This code signifies a long-term consequence or late effect of an unspecified injury to the heart, where there was no bleeding into the pericardial sac at the time of the original injury. It indicates that the patient is now experiencing a health problem directly attributable to a past, ill-defined cardiac trauma.

Use this code when documenting a current condition or complication that is a residual effect of a previous, unspecified heart injury that did not involve hemopericardium. This applies when the acute phase of the original injury has passed, and the patient is being treated for a chronic or persistent issue stemming from that trauma.

• Ensure the documentation clearly links the current condition to a past, unspecified heart injury.
• Verify that there is no mention of hemopericardium associated with the original injury.
• Always use this code as a secondary diagnosis, following the code for the specific sequela being treated.