Wiki Acute cor pulmonale in ICD-10

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Code: I26.99

Code Name: ICD-10 Code for Other pulmonary embolism without acute cor pulmonale

Block: Pulmonary heart disease and diseases of pulmonary circulation (I26-I28)

Details: Other pulmonary embolism without acute cor pulmonale

Acute pulmonary embolism NOS
Pulmonary embolism NOS

I26

Includes: pulmonary (acute) (artery)(vein) infarction
pulmonary (acute) (artery)(vein) thromboembolism
pulmonary (acute) (artery)(vein) thrombosis

Excludes2: chronic pulmonary embolism (I27.82)
personal history of pulmonary embolism (Z86.711)
pulmonary embolism complicating abortion, ectopic or molar pregnancy (O00-O07, O08.2)
pulmonary embolism complicating pregnancy, childbirth and the puerperium (O88.-)
pulmonary embolism due to trauma (T79.0, T79.1)
pulmonary embolism due to complications of surgical and medical care (T80.0, T81.7-, T82.:cool:
septic (non-pulmonary) arterial embolism (I76)

Guidelines: Diseases of the circulatory system (I00-I99)

Excludes 2: certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
systemic connective tissue disorders (M30-M36)
transient cerebral ischemic attacks and related syndromes (G45.-)

For more details on I26.99 , ICD-10 Code for Other pulmonary embolism without acute cor pulmonale visit: https://coder.aapc.com/icd-10-codes/

VAL1123

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Does anyone know if there is a way to code acute cor pulmonale without PE in ICD-10? There only seem to be codes with PE, and occasionally we see that Dx in patient's without PE.
 

Judy Marino

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how to code acute cor pulmonale without PE

Hello everyone,
I will take a stab at this. There are two main causes for acute cor pulmonale- PE and ARDS- I believe you need to query the provider and if due to the ARDS then that would be the primary Dx followed by cor pulmonale secondary? I do not believe the cor pulmonale would be a sign or symptom of the ARDS in this case so it would be coded.
 
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cor pulmonale

I26.09. I had the same question, but if you look at the descriptive comment, the first part says Other P.E. with acute cor pulmonale, then under that it says ACUTE COR PULMONALE NOS. Hope that helps
 
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