ICD-10 Coding for History of Pulmonary Embolism(Z86.711)
Complete ICD-10-CM coding and documentation guide for History of Pulmonary Embolism. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Pulmonary Embolism
Z86.71-Z86.79Primary Range
Personal history of diseases of the circulatory system
This range includes codes for personal history of circulatory system diseases, with Z86.711 specifically for pulmonary embolism.
Key Information: ICD-10 code for history of pulmonary embolism
Essential facts and insights about History of Pulmonary Embolism
Primary ICD-10-CM Code for history of pulmonary embolism
Decision Criteria
clinical Criteria
- Patient has a documented history of resolved pulmonary embolism.
documentation Criteria
- Imaging reports confirm resolution of PE.
Applicable To
- Resolved pulmonary embolism
Excludes
- Current pulmonary embolism (I26.xx)
Clinical Validation Requirements
- Documentation of resolved pulmonary embolism
- Imaging confirmation of prior PE
Code-Specific Risks
- Incorrectly using for active PE cases
Coding Notes
- Ensure documentation specifies the PE is resolved and any ongoing anticoagulant therapy.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long-term (current) use of anticoagulants
Z79.01Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Pulmonary Embolism to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.711.
Impact
Clinical: Inaccurate treatment records, Regulatory: Potential audit issues, Financial: Loss of reimbursement for anticoagulant therapy
Mitigation Strategy
Always link anticoagulant use to PE history, Review documentation for completeness
Impact
Reimbursement: Incorrect reimbursement due to misclassification., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use Z86.711 for resolved PE cases.
Impact
Using active PE codes for historical cases.
Mitigation Strategy
Educate staff on proper use of Z86.711.
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 History of Pulmonary Embolism, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Pulmonary Embolism
Use these documentation templates to ensure complete and accurate documentation for History of Pulmonary Embolism. These templates include all required elements for proper coding and billing.
Routine follow-up for resolved PE
Specialty: Internal MedicineRequired Elements
- History of PE with resolution date
- Current anticoagulant therapy
- Recent imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for History of Pulmonary Embolism? Ask your questions below.