Cardiovascular malfunction arising from mental factors

This code represents a somatoform disorder where psychological stressors or mental health conditions manifest as physical symptoms affecting the cardiovascular system. It describes a functional disturbance of the heart or blood vessels that is primarily attributed to psychological factors, rather than organic disease.

Apply this code when documentation clearly indicates cardiovascular symptoms (e.g., palpitations, chest pain, dyspnea) are determined to be psychogenic in origin, following a thorough workup to rule out organic heart disease. This diagnosis is supported by a physician's assessment linking mental factors to the cardiovascular malfunction.

• Ensure documentation explicitly states a psychological etiology for the cardiovascular symptoms after organic causes have been excluded.
• Do not use this code if an underlying organic cardiovascular condition is present, even if psychological factors exacerbate it.
• Consider sequencing this code after any acute stress reaction or other mental health diagnosis if it is the primary reason for the encounter.