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

ICD-10 Coding for Pulmonary Vascular Congestion

I50.9
J81.0

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

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

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

Use ICD-10 code I50.9 for heart failure, unspecified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Heart failure, unspecified

Billable Code
I50.9
Billable

Diagnostic Criteria

  • • Presence of heart failure symptoms and elevated BNP.

Applicable To

  • • Congestive heart failure NOS

Important Notes

  • • Ensure heart failure type is documented for accurate coding.

Pulmonary edema

Billable Code
J81.0
Billable

Diagnostic Criteria

  • • Crackles in >2 lung fields
  • • Hypoxemia (SpO2 <90% on room air)
  • • Frothy sputum

Applicable To

  • • Acute pulmonary edema

Important Notes

  • • Ensure documentation specifies acute or chronic nature.
Ancillary Codes

Additional codes that may be used with this diagnosis

J81.0

Pulmonary edema

Use as a secondary code when pulmonary edema is present due to heart failure.

Frequently Asked Questions

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

The ICD-10 code for pulmonary vascular congestion primarily depends on the underlying cause. If due to heart failure, use I50.9. For pulmonary edema without a specified cardiac cause, use J81.0.

How do you code pulmonary congestion with heart failure?

Code the heart failure first (I50.9) followed by J81.0 for pulmonary edema if present. Ensure documentation specifies the heart failure type and acuity.

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