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Home/Diagnosis/ICD-10 Coding for Pulmonary Embolism

ICD-10 Coding for Pulmonary Embolism

I26.01
I26.94
I27.82

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

Also Known as:
PE
Pulmonary Thromboembolism
lung embolism
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Key Information: ICD-10 Coding for Pulmonary Embolism

Essential facts and insights about ICD-10 Coding for Pulmonary Embolism

Use ICD-10 code I26.01 for septic pulmonary embolism with acute cor pulmonale, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Septic pulmonary embolism with acute cor pulmonale

Billable Code
I26.01
Billable

Diagnostic Criteria

  • • Presence of acute cor pulmonale confirmed by imaging

Applicable To

  • • Septic PE with acute right heart failure

Important Notes

  • • Ensure documentation specifies 'acute' and 'septic' with cor pulmonale.

Multiple subsegmental pulmonary emboli without acute cor pulmonale

Billable Code
I26.94
Billable

Diagnostic Criteria

  • • CTPA showing subsegmental defects

Applicable To

  • • Multiple subsegmental filling defects

Important Notes

  • • Document specific location and number of emboli.

Chronic pulmonary embolism

Billable Code
I27.82
Billable

Diagnostic Criteria

  • • Imaging showing organized thrombus
  • • Long-term anticoagulation

Applicable To

  • • Organized thrombi in pulmonary arteries

Important Notes

  • • Ensure documentation specifies 'chronic' and 'organized thrombi'.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.01

Long term (current) use of anticoagulants

Use when patient is on long-term anticoagulation therapy.

Frequently Asked Questions

What is the ICD-10 code for pulmonary embolism?

The ICD-10 code for acute pulmonary embolism with acute cor pulmonale is I26.01, while chronic pulmonary embolism is coded as I27.82.

How do you code a chronic pulmonary embolism?

Chronic pulmonary embolism is coded as I27.82, often with Z79.01 for long-term anticoagulant use.

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