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Home/Diagnosis/ICD-10 Coding for Acute Pulmonary Congestion

ICD-10 Coding for Acute Pulmonary Congestion

J81.0
I50.1

Complete ICD-10-CM coding and documentation guide for icd-10 coding for acute pulmonary congestion includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Acute Pulmonary Edema
Flash Pulmonary Edema
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Key Information: ICD-10 Coding for Acute Pulmonary Congestion

Essential facts and insights about ICD-10 Coding for Acute Pulmonary Congestion

Use ICD-10 code J81.0 for acute pulmonary edema, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute pulmonary edema

Billable Code
J81.0
Billable

Diagnostic Criteria

clinical_criteria:
  • • Presence of acute respiratory symptoms and imaging findings
coding_criteria:
  • • Documentation of 'acute' or 'flash' pulmonary edema

Applicable To

  • • Acute pulmonary congestion
  • • Flash pulmonary edema

Important Notes

  • • Ensure 'acute' is documented to use J81.0. If cardiac cause, consider I50.1.

Left ventricular failure

Billable Code
I50.1
Billable

Diagnostic Criteria

clinical_criteria:
  • • Echocardiogram showing reduced ejection fraction
  • • Clinical signs of heart failure

Applicable To

  • • Acute heart failure

Important Notes

  • • Sequence before J81.0 if heart failure is the underlying cause.
Ancillary Codes

Additional codes that may be used with this diagnosis

R06.02

Shortness of breath

Document when patient presents with dyspnea related to pulmonary congestion.

R09.02

Hypoxemia

Use when there is documented low oxygen saturation.

Frequently Asked Questions

What is the ICD-10 code for acute pulmonary congestion?

The ICD-10 code for acute pulmonary congestion is J81.0, which is used for acute pulmonary edema when not caused by heart failure.

How is acute pulmonary congestion documented?

Document acute pulmonary congestion by noting 'acute' or 'flash' pulmonary edema, supported by clinical findings like CXR and ABG results.

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