ICD-10 Coding for Chronic Thromboembolic Pulmonary Hypertension(I27.23)
Complete ICD-10-CM coding and documentation guide for Chronic Thromboembolic Pulmonary Hypertension. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chronic Thromboembolic Pulmonary Hypertension
I27.2-I27.9Primary Range
Other pulmonary heart diseases
This range includes codes for various forms of pulmonary hypertension, including CTEPH.
Key Information: ICD-10 code for CTEPH
Essential facts and insights about Chronic Thromboembolic Pulmonary Hypertension
Primary ICD-10-CM Code for cteph
Decision Criteria
clinical Criteria
- Presence of chronic thromboembolic disease confirmed by imaging and hemodynamic studies.
coding Criteria
- Use I27.23 with I26.92 for CTEPH due to chronic thromboembolic disease.
Applicable To
- Pulmonary hypertension due to chronic thromboembolic disease
Excludes
- Eisenmenger's syndrome (I27.83)
Clinical Validation Requirements
- Right heart catheterization showing mPAP ≥25 mmHg
- CT pulmonary angiography confirming chronic thromboembolic disease
Code-Specific Risks
- Incorrectly coding acute PE instead of chronic thromboembolic disease.
Coding Notes
- Ensure documentation specifies chronic thromboembolic etiology and includes necessary imaging and hemodynamic findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Chronic Thromboembolic Pulmonary Hypertension to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I27.23.
Impact
Clinical: May lead to inappropriate treatment strategies., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Ensure thorough documentation of diagnostic tests., Regular training on CTEPH documentation requirements.
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient care and research.
Mitigation Strategy
Ensure documentation specifies chronic thromboembolic etiology and use I27.23 with I26.92.
Impact
Risk of coding CTEPH as acute PE or unspecified PH.
Mitigation Strategy
Ensure documentation includes specific tests confirming chronic thromboembolic disease.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Chronic Thromboembolic Pulmonary Hypertension, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chronic Thromboembolic Pulmonary Hypertension
Use these documentation templates to ensure complete and accurate documentation for Chronic Thromboembolic Pulmonary Hypertension. These templates include all required elements for proper coding and billing.
CTEPH diagnosis and management
Specialty: PulmonologyRequired Elements
- Right heart catheterization results
- CT pulmonary angiography findings
- Anticoagulation history
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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