tci ED Coding & Reimbursement Alert - 2019 Issue Q3

ICD-10: Pulmonary Hypertension Cases Require Sleuthing to Find the Right Code

Turn to I27.22 for left heart disease. Selecting the right code to describe a patient’s pulmonary hypertension will depend on several key factors, including whether the hypertension is arterial or is caused by lung disease. Choose the right code from the ICD-10-CM I27.0 (Primary pulmonary hypertension) and I27.2- (Other secondary pulmonary hypertension) code range, using the recommendations that follow. Pin Down the Dx It’s not always obvious that the reason for a patient’s shortness of breath, swollen ankles, and liver tenderness — to name a few common symptoms — is pulmonary hypertension (PH)...

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