Unspecified injury of heart with hemopericardium, sequela

This code signifies a long-term complication or late effect stemming from an unspecified injury to the heart that resulted in hemopericardium (blood in the pericardial sac). It indicates that the initial heart injury and associated bleeding around the heart are no longer acute but are still causing ongoing clinical issues.

Use this code when documenting a patient presenting with persistent symptoms or conditions directly attributable to a past, unspecified traumatic heart injury that involved hemopericardium. This would apply to follow-up encounters where the sequelae of the original injury are being managed, such as chronic pericardial effusions, adhesions, or cardiac dysfunction.

• Always assign an additional code to specify the nature of the sequela (e.g., chronic pericarditis, heart failure).
• Ensure documentation clearly links the current condition to a past heart injury with hemopericardium.
• Do not use for acute injuries; this code is exclusively for late effects or complications.