ICD-10 Coding for Pulmonic Regurgitation Bleeding(I37.1, J95.2)
Complete ICD-10-CM coding and documentation guide for Pulmonic Regurgitation Bleeding. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pulmonic Regurgitation Bleeding
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I37.1 | Pulmonary valve insufficiency | Use when pulmonic regurgitation is confirmed as the primary pathology. |
|
| J95.2 | Acute pulmonary insufficiency following nonthoracic surgery | Use only for post-surgical complications not related to valve issues. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for pulmonic regurgitation
Essential facts and insights about Pulmonic Regurgitation Bleeding
Primary ICD-10-CM Codes for pulmonic regurgitation bleeding
Decision Criteria
clinical Criteria
- Echocardiogram shows diastolic flow reversal in pulmonary artery.
documentation Criteria
- Documentation explicitly states 'pulmonic regurgitation'.
Clinical Validation Requirements
- Echocardiogram showing diastolic flow reversal in pulmonary artery
- Documentation of 'pulmonic valve regurgitation'
Code-Specific Risks
- Confusion with post-surgical codes J95.1/J95.2
Coding Notes
- Ensure documentation specifies 'pulmonic regurgitation' and not vague terms like 'valve leak'.
J95.2 - Acute pulmonary insufficiency following nonthoracic surgery
Use only for post-surgical complications not related to valve issues.
Excludes
- Pulmonic regurgitation (I37.1)
Clinical Validation Requirements
- Non-thoracic surgery with ≥2 failed extubation attempts and O2 >72hrs
Coding Notes
Reserved for specific post-surgical scenarios.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Mitral valve insufficiency
I34.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Pulmonic Regurgitation Bleeding to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I37.1.
Impact
Clinical: Leads to misdiagnosis and improper treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims and revenue loss.
Mitigation Strategy
Train staff on specific terminology., Use documentation templates.
Impact
Reimbursement: Incorrect DRG assignment leading to reimbursement errors., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use I37.1 for valve-related issues.
Impact
Using surgical complication codes for non-surgical conditions.
Mitigation Strategy
Regular training on code differentiation and documentation requirements.
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 Pulmonic Regurgitation Bleeding, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pulmonic Regurgitation Bleeding
Use these documentation templates to ensure complete and accurate documentation for Pulmonic Regurgitation Bleeding. These templates include all required elements for proper coding and billing.
Cardiology Progress Note
Specialty: CardiologyRequired Elements
- Assessment of pulmonic regurgitation severity
- Echocardiogram findings
- Associated conditions like pulmonary hypertension
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Pulmonic Regurgitation Bleeding? Ask your questions below.