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ICD-10 Coding for Pulmonary Contusion(S27.32XA, S27.322A)

Complete ICD-10-CM coding and documentation guide for Pulmonary Contusion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Lung ContusionPulmonary Bruise

Related ICD-10 Code Ranges

Complete code families applicable to Pulmonary Contusion

S27.32Primary Range

Contusion of lung

This range includes codes for unilateral and bilateral pulmonary contusions, specifying initial encounters and sequela.

Acute respiratory distress syndrome (ARDS)

Used when ARDS is a complication of pulmonary contusion.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
S27.32XAContusion of lung, unilateral, initial encounterUse for initial treatment of unilateral lung contusion due to trauma.
  • CT scan showing unilateral lung contusion
  • Documentation of trauma mechanism
S27.322AContusion of lung, bilateral, initial encounterUse for initial treatment of bilateral lung contusions due to trauma.
  • CT scan showing bilateral lung contusions
  • Documentation of trauma mechanism

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for pulmonary contusion

Essential facts and insights about Pulmonary Contusion

The ICD-10 code for pulmonary contusion is S27.32XA for unilateral and S27.322A for bilateral cases.

Primary ICD-10-CM Codes for pulmonary contusion

Contusion of lung, unilateral, initial encounter
Non-billable Code

Decision Criteria

clinical Criteria

  • CT scan confirms unilateral lung contusion.

Applicable To

  • Unilateral lung contusion

Excludes

  • Traumatic pneumothorax (S27.0-)
  • Traumatic hemothorax (S27.1-)

Clinical Validation Requirements

  • CT scan showing unilateral lung contusion
  • Documentation of trauma mechanism

Code-Specific Risks

  • Risk of using unspecified code if laterality is not documented.

Coding Notes

  • Ensure laterality is documented to avoid unspecified codes.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Postprocedural pneumothorax

J95.811
Use if pneumothorax is iatrogenic.

Acute respiratory distress syndrome (ARDS)

J80
Use if ARDS develops as a complication.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Traumatic pneumothorax

S27.0-
Presence of air in pleural space on imaging.

Pneumonia, unspecified organism

J18.9
Presence of infection signs like fever and purulent sputum.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Pulmonary Contusion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S27.32XA.

Impact

Clinical: Inadequate clinical picture for treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.

Mitigation Strategy

Use trauma templates., Include mechanism in all initial assessments.

Impact

Reimbursement: May lead to lower reimbursement due to unspecified coding., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.

Mitigation Strategy

Ensure documentation specifies laterality to use the correct code.

Impact

High risk of audit if laterality is not documented.

Mitigation Strategy

Implement mandatory laterality documentation in EMR.

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 Pulmonary Contusion, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Pulmonary Contusion

Use these documentation templates to ensure complete and accurate documentation for Pulmonary Contusion. These templates include all required elements for proper coding and billing.

Initial Trauma Assessment

Specialty: Emergency Medicine

Required Elements

  • Mechanism of injury
  • Imaging results
  • ABG results

Example Documentation

Patient presents post-MVC with chest pain. CT shows bilateral pulmonary contusions. ABG: PaO2 55 mmHg.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Lung injury from accident.
Good Documentation Example
Bilateral pulmonary contusions from MVC, CT confirmed.
Explanation
The good example specifies laterality and confirms with imaging.

Need help with ICD-10 coding for Pulmonary Contusion? Ask your questions below.

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