ICD-10 Coding for Acute Respiratory Distress Syndrome(J80)
Complete ICD-10-CM coding and documentation guide for Acute Respiratory Distress Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acute Respiratory Distress Syndrome
Key Information: How is ARDS coded in ICD-10?
Essential facts and insights about Acute Respiratory Distress Syndrome
Primary ICD-10-CM Code for ards
Decision Criteria
clinical Criteria
- Presence of bilateral infiltrates and hypoxemia
Applicable To
- ARDS
Excludes
- Neonatal respiratory distress syndrome (P22.0)
Clinical Validation Requirements
- Acute onset of bilateral pulmonary infiltrates
- PaO2/FiO2 ratio <300 mmHg
- Non-cardiogenic pulmonary edema
Code-Specific Risks
- Ensure ARDS is not confused with other forms of respiratory failure.
Coding Notes
- Ensure documentation supports ARDS criteria.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Acute Respiratory Distress Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code J80.
Impact
Clinical: Inaccurate treatment planning., Regulatory: Potential audit issues., Financial: Incorrect reimbursement.
Mitigation Strategy
Ensure etiology is documented in the medical record.
Impact
Reimbursement: Incorrect coding may affect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Code only J80 when ARDS criteria are met.
Impact
Failure to sequence COVID-19 before ARDS.
Mitigation Strategy
Review coding guidelines regularly.
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 Acute Respiratory Distress Syndrome, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acute Respiratory Distress Syndrome
Use these documentation templates to ensure complete and accurate documentation for Acute Respiratory Distress Syndrome. These templates include all required elements for proper coding and billing.
ICU Admission for ARDS
Specialty: Critical CareRequired Elements
- Onset of symptoms
- Oxygenation status
- Imaging results
- Exclusion of cardiac causes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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