Contusion of heart without hemopericardium, sequela

This code signifies a past injury to the heart muscle, specifically a bruise, that did not involve bleeding into the sac surrounding the heart. It indicates that the patient is currently experiencing a long-term effect or complication stemming from this previous cardiac contusion.

Apply this code when documenting a patient presenting with ongoing symptoms or conditions directly attributable to a resolved cardiac contusion without hemopericardium. This would include follow-up encounters for persistent arrhythmias, heart failure, or other cardiac dysfunction clearly linked to the old injury.

• Ensure documentation clearly links the current condition to a previous cardiac contusion.
• Always use with an additional code(s) to specify the nature of the sequela (e.g., specific arrhythmia, heart failure).
• Verify the absence of hemopericardium in the original injury documentation to ensure accurate code selection.