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Home/Diagnosis/ICD-10 Coding for Submassive Pulmonary Embolism

ICD-10 Coding for Submassive Pulmonary Embolism

I26.99

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

Also Known as:
Intermediate-risk Pulmonary Embolism
PE with RV Dysfunction
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Key Information: ICD-10 Coding for Submassive Pulmonary Embolism

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

Use ICD-10 code I26.99 for other pulmonary embolism without acute cor pulmonale, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Other pulmonary embolism without acute cor pulmonale

Billable Code
I26.99
Billable

Diagnostic Criteria

clinical_criteria:
  • • Presence of RV dysfunction without hypotension

Applicable To

  • • Submassive pulmonary embolism without acute cor pulmonale

Important Notes

  • • Ensure documentation specifies RV dysfunction and absence of hypotension.
Ancillary Codes

Additional codes that may be used with this diagnosis

R94.31

Abnormal findings on diagnostic imaging of heart and coronary circulation

Use to document elevated troponin levels if not embedded in primary code logic.

Frequently Asked Questions

What is the ICD-10 code for submassive pulmonary embolism?

The ICD-10 code for submassive pulmonary embolism without acute cor pulmonale is I26.99. This code is used when there is right ventricular dysfunction but no hypotension.

How is submassive pulmonary embolism documented?

Documentation should include specific findings of right ventricular dysfunction, such as RV/LV ratio >0.9 on CT or elevated troponin levels, and confirm the absence of hypotension.

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