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ICD-10 Code C45.2 | Mesothelioma of pericardium Symptoms, Diagnosis, Billing

Mesothelioma of the pericardium is a rare and aggressive cancer that arises from the mesothelial cells lining the pericardial sac surrounding the heart. It is primarily associated with asbestos exposure, leading to significant clinical implications due to its poor prognosis. Accurate coding with ICD-10 Code C45.2 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that healthcare providers can effectively manage and treat this condition.

What is ICD-10 Code C45.2 for Mesothelioma of pericardium?

ICD-10 Code C45.2 specifically denotes Mesothelioma of the pericardium, a malignant tumor linked to asbestos exposure. This code is utilized in clinical documentation and billing when diagnosing patients with this condition, ensuring that healthcare providers can accurately capture the severity and nature of the disease for treatment planning and reimbursement purposes.

ICD-10 Code C45.2 – Clinical Definition and Explanation of Mesothelioma of pericardium

Mesothelioma of the pericardium is a rare form of cancer that develops in the protective lining of the heart, often resulting from asbestos exposure. The disease can progress rapidly, leading to serious complications that necessitate immediate medical intervention.

Key Clinical Features:

  • Chest pain or discomfort
  • Shortness of breath
  • Pericardial effusion
  • Fatigue and weakness

ICD-10 Code C45.2 for Mesothelioma of pericardium – SOAP Notes & Clinical Use

In SOAP notes, ICD-10 Code C45.2 is critical for documenting the patient's symptoms, assessment findings, and treatment plans. It aids in capturing the clinical picture of mesothelioma of the pericardium, relevant in both acute and chronic care settings.

What Does ICD-10 Code C45.2 for Mesothelioma of pericardium Mean in SOAP Notes?

ICD-10 Code C45.2 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of mesothelioma of the pericardium. This code is vital for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code C45.2 – Mesothelioma of pericardium

Mesothelioma of the pericardium requires urgent medical attention, often necessitating hospitalization for management. Treatment approaches may include surgical intervention, chemotherapy, and radiation therapy.

Antibiotic Therapy:

  • Not applicable as mesothelioma is not infectious.

Supportive Care:

  • Pain management with analgesics
  • Management of pericardial effusion
  • Psychosocial support for patients and families

Infection Control:

  • Standard precautions during treatment
  • Monitoring for potential infections post-surgery

How to Document Symptoms of Mesothelioma of pericardium (ICD-10 C45.2) in SOAP Notes

Subjective:

  • Patient reports persistent chest pain
  • Complains of increasing shortness of breath
  • History of asbestos exposure noted
  • Experiencing fatigue and weakness

Objective:

  • Auscultation reveals muffled heart sounds
  • Chest X-ray shows pericardial effusion
  • Vital signs: BP 110/70, HR 95, RR 22
  • CT scan confirms presence of pericardial mass
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SOAP Note Guidelines for Diagnosing Mesothelioma of pericardium (ICD-10 Code C45.2)

Assessment:

  • Diagnosis: Mesothelioma of pericardium, confirmed by imaging
  • Severity: Advanced stage due to pericardial effusion
  • Contributing factors: History of asbestos exposure
  • Symptoms: Chest pain and dyspnea

Plan:

  • Refer to oncology for chemotherapy options
  • Consider palliative care for symptom management
  • Schedule follow-up imaging to monitor progression
  • Educate patient on disease process and treatment options

Treatment & Plan Section for ICD-10 Code C45.2 – Mesothelioma of pericardium

  • Chemotherapy regimens (e.g., cisplatin, pemetrexed)
  • Surgical options for pericardial mass removal
  • Palliative care strategies for symptom relief
  • Regular follow-up appointments for monitoring

Using ICD-10 Code C45.2 for Mesothelioma of pericardium in Billing & SOAP Note Compliance

  • Ensure accurate documentation of symptoms and history
  • Use C45.2 in conjunction with relevant CPT codes for treatment
  • Maintain compliance with coding guidelines for reimbursement
  • Document all clinical findings clearly in SOAP notes

ICD-10 Code C45.2 in Medical Billing and Insurance for Mesothelioma of pericardium

ICD-10 Code C45.2 is crucial for billing purposes in hospital, emergency room, or oncology settings, ensuring accurate reimbursement for services rendered.

Billing Notes:

  • Document all relevant patient history and exposure to asbestos
  • Use C45.2 in conjunction with treatment-related CPT codes
  • Ensure all clinical findings are clearly documented to support claims
  • Review coding guidelines to avoid billing errors

Common CPT Pairings:

CPT CodeDescription
99223Initial hospital care, typically 70 minutes or more of total time on the date of the encounter
32551Pleural drainage, percutaneous, for therapeutic purposes
96413Chemotherapy administration, intravenous, push technique, for a single drug
99214Established patient office visit, typically 25-29 minutes

Frequently Asked Questions

Common Questions About Using ICD-10 Code C45.2 for Mesothelioma of pericardium

What are the common symptoms of mesothelioma of the pericardium?

Common symptoms include chest pain, shortness of breath, fatigue, and signs of pericardial effusion. Patients may also experience palpitations and swelling in the legs due to fluid accumulation.

How is mesothelioma of the pericardium diagnosed?

Diagnosis typically involves imaging studies such as CT scans or MRIs, along with biopsy procedures to confirm the presence of malignant mesothelial cells.

What treatment options are available for mesothelioma of the pericardium?

Treatment options may include chemotherapy, radiation therapy, and surgical interventions. Palliative care is also essential for managing symptoms and improving quality of life.

Is mesothelioma of the pericardium contagious?

No, mesothelioma of the pericardium is not contagious. It is primarily associated with asbestos exposure and does not spread from person to person.

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