ICD-10 Coding for Acute Pulmonary Embolism(B95.61U, I26.01, I26.01B)
Learn about ICD-10 coding for acute pulmonary embolism, including specific codes for septic and saddle embolisms, and documentation requirements.
Complete code families applicable to Acute Pulmonary Embolism
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I26.01 | Septic pulmonary embolism with acute cor pulmonale | Use when septic pulmonary embolism is confirmed with acute cor pulmonale. |
|
| I26.02 | Saddle pulmonary embolism with acute cor pulmonale | Use when a saddle embolus is confirmed with acute cor pulmonale. |
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| I26.93 | Single subsegmental pulmonary embolism without acute cor pulmonale | Use when a single subsegmental embolus is confirmed without cor pulmonale. |
|
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
Essential facts and insights aboutAcute Pulmonary Embolism
Alternative codes to consider when ruling out similar conditions
Use when imaging confirms a saddle embolus with acute cor pulmonale.
Use when embolism is subsegmental and no cor pulmonale is present.
Use when embolism is septic and cor pulmonale is present.
Documentation & Coding Risks
Avoid these common issues when documenting Acute Pulmonary Embolism.
Using unspecified PE codes without documentation
Impact
Clinical: Leads to ambiguity in patient care and treatment plans., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential for denied claims and reduced reimbursement.
Mitigation
Always specify the type and acuity of PE in documentation.
Coding acute PE without specifying cor pulmonale status
Impact
Reimbursement: Incorrect coding can lead to improper DRG assignment and reimbursement., Compliance: May result in non-compliance with coding guidelines., Data Quality: Affects the accuracy of clinical data and patient records.
Mitigation
Always document and code the presence or absence of cor pulmonale.
Septic Pulmonary Embolism Coding
Impact
Risk of incorrect coding without proper documentation of septicemia and cor pulmonale.
Mitigation
Implement regular audits and provider education on documentation requirements.