ICD-10 Coding for Pulmonary Infarct(I26.99, I27.82)
Complete ICD-10-CM coding and documentation guide for Pulmonary Infarct. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pulmonary Infarct
I26-I28Primary Range
Pulmonary heart disease and diseases of pulmonary circulation
This range includes codes for pulmonary embolism and infarction, which are directly related to pulmonary infarct.
Long-term (current) drug therapy
This range includes codes for anticoagulant use, which is relevant for chronic pulmonary embolism management.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I26.99 | Other pulmonary embolism without acute cor pulmonale | Use for acute pulmonary embolism with infarction when cor pulmonale is not present. |
|
| I27.82 | Chronic pulmonary embolism | Use for chronic pulmonary embolism with documented long-term anticoagulation therapy. |
|
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 infarct
Essential facts and insights about Pulmonary Infarct
Primary ICD-10-CM Codes for pulmonary infarct
Decision Criteria
clinical Criteria
- Acute presentation with imaging confirmation of infarction
documentation Criteria
- Absence of cor pulmonale in documentation
Applicable To
- Acute pulmonary embolism with infarction
Excludes
- Chronic pulmonary embolism (I27.82)
Clinical Validation Requirements
- CTPA showing wedge-shaped consolidation
- Elevated D-dimer
Code-Specific Risks
- Misclassification if cor pulmonale is present but not documented
Coding Notes
- Ensure documentation specifies acute nature and absence of cor pulmonale.
I27.82 - Chronic pulmonary embolism
Use for chronic pulmonary embolism with documented long-term anticoagulation therapy.
Applicable To
- Chronic pulmonary embolism with infarction
Excludes
- Acute pulmonary embolism (I26.99)
Clinical Validation Requirements
- Documentation of anticoagulation therapy
- Imaging showing residual thrombus
Coding Notes
Ensure chronicity and anticoagulation are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long-term (current) use of anticoagulants
Z79.01Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Pulmonary Infarct to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I26.99.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Review medication lists for anticoagulants.
Impact
Reimbursement: May lead to underpayment or denials., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Specify acuity and presence of cor pulmonale to use specific codes.
Impact
Inadequate documentation of chronic pulmonary embolism.
Mitigation Strategy
Implement regular documentation audits.
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 Infarct, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pulmonary Infarct
Use these documentation templates to ensure complete and accurate documentation for Pulmonary Infarct. These templates include all required elements for proper coding and billing.
Acute pulmonary embolism with infarction
Specialty: PulmonologyRequired Elements
- Acuity of embolism
- Imaging findings
- Cor pulmonale status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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