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Home/Diagnosis/ICD-10 Coding for Moderate Pulmonary Hypertension

ICD-10 Coding for Moderate Pulmonary Hypertension

I27.20
I27.22

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

Also Known as:
Moderate Pulmonary HTN
Moderate PH
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Key Information: ICD-10 Coding for Moderate Pulmonary Hypertension

Essential facts and insights about ICD-10 Coding for Moderate Pulmonary Hypertension

Use ICD-10 code I27.20 for pulmonary hypertension, unspecified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pulmonary hypertension, unspecified

Billable Code
I27.20
Billable

Diagnostic Criteria

  • • Echocardiogram showing RVSP 40-59 mmHg
  • • Mean PAP ≥25 mmHg by RHC

Applicable To

  • • Moderate pulmonary hypertension

Important Notes

  • • Ensure documentation specifies the absence of a known cause if using I27.20.

Pulmonary hypertension due to left heart disease

Billable Code
I27.22
Billable

Diagnostic Criteria

  • • LVEF <40% with elevated PAWP >15 mmHg

Applicable To

  • • PH due to left ventricular dysfunction

Important Notes

  • • Ensure heart disease is documented and coded prior to PH.
Ancillary Codes

Additional codes that may be used with this diagnosis

I50.9

Heart failure, unspecified

Use when PH is secondary to heart failure.

Frequently Asked Questions

What is the ICD-10 code for moderate pulmonary hypertension?

The ICD-10 code for moderate pulmonary hypertension is I27.20, used when the cause is unspecified.

How should moderate pulmonary hypertension be documented?

Document moderate pulmonary hypertension with specific hemodynamic data, such as RVSP and mPAP values, and any underlying conditions.

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