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Thread: PEA diagnosis code

  1. #1
    Join Date
    Apr 2007
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    Virginia
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    Default PEA diagnosis code

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    What ICD recommendations exist for PEA??? Does anyone agree or disagree with 427.5?

  2. #2

    Default

    I would code PEA as 427.5 My rationale is:
    Cardiac arrest is the abrupt halt of the pumping action of the heart. True pulseless electrical activity is a condition in which cardiac contractions are absent in the presence of coordinated electrical activity (the patient has no pulse but the EKG shows a rhythm).

    To add to the confusion:
    Since PEA refers to any rhythm without a pulse and the electrical activity is not identified as a specific dysrhythmia, could 427.9 be assigned?

    Do you have any other documentation of the cause of the PEA, such as cardiac tamponade, tension pneumo, drug OD, hyper/hypokalemia, hypovolemia... for more specificity?

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