Wiki coding help

NIKI01

Networker
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hello,
I am looking for a pulmonary vascular congestion code. After researching I found out that two different codes can be used: R91.8 and J81.1.
which one is correct?
thank you,
 
My SelectCoder suggests:

R91.8 - Other nonspecific abnormal finding of lung field

Clarifying Terms
Lung mass NOS found on diagnostic imaging of lung
Pulmonary infiltrate NOS
Shadow, lung


J81.1 - Chronic pulmonary edema

Clarifying Terms
Pulmonary congestion (chronic) (passive)
Pulmonary edema NOS
-However this code is an add-on code, meaning you will need another code to match

Use Additional Code (J81)
code to identify:
exposure to environmental tobacco smoke (Z77.22)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)


I'm thinking J81.1 with an additional Z or F17 code as suggested above.
 
My SelectCoder suggests:

R91.8 - Other nonspecific abnormal finding of lung field

Clarifying Terms
Lung mass NOS found on diagnostic imaging of lung
Pulmonary infiltrate NOS
Shadow, lung


J81.1 - Chronic pulmonary edema

Clarifying Terms
Pulmonary congestion (chronic) (passive)
Pulmonary edema NOS
-However this code is an add-on code, meaning you will need another code to match

Use Additional Code (J81)
code to identify:
exposure to environmental tobacco smoke (Z77.22)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)


I'm thinking J81.1 with an additional Z or F17 code as suggested above.


Thank you so much for clarification,
 
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