Disorder of pulmonary vessels, NOS: Difference between revisions

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*Pulmonary vascular disease describes any process that disturbs the blood flow between the heart and the lungs. Blood travels from the right side of the heart to the lungs through pulmonary arteries. The vessels then split into smaller conduits and eventually into capillary beds where oxygen is absorbed and carbon dioxide is released. The pulmonary vein then returns the freshly oxygenated blood to the left side of the heart from where it is pumped throughout the rest of the body. Any process that disrupts the balance along this pathway defines PVD. For example, people with [[Arteriovenous malformation (AVM)]] of the lungs, there is an abnormal communication between arteries and veins. The abnormal communication does not allow good oxygen-carbon dioxide exchanges and behaves like [[Pulmonary Hypertension]]. Nonetheless, pulmonary vascular disorder also includes acute ([[Pulmonary embolism (thromboembolism), acute]]) and chronic ([[Pulmonary embolism (thromboembolism), chronic]]) thromboembolic disease (blood clot) (how about [[Pulmonary embolism (thromboembolism), septic]]?), [[Pulmonary Hypertension]], and pulmonary veno-occlusive disease. It can present as an acute process, such as blood clots traveling to the lungs, or as a slow progressing disease like [[Arteriovenous malformation (AVM)|AVM]] revealing itself over months and years.

{{discussion}} If it includes all those, should they be considered implied? Or ''can'' it include all those, in which chase they would be preferrable alternate diagnoses, since NOS should only be coded when specific is not available.

== Alternate ICD10s to consider coding instead or in addition ==

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 *Pulmonary vascular disease describes any process that disturbs the blood flow between the heart and the lungs. Blood travels from the right side of the heart to the lungs through pulmonary arteries. The vessels then split into smaller conduits and eventually into capillary beds where oxygen is absorbed and carbon dioxide is released. The pulmonary vein then returns the freshly oxygenated blood to the left side of the heart from where it is pumped throughout the rest of the body. Any process that disrupts the balance along this pathway defines PVD. For example, people with [[Arteriovenous malformation (AVM)]] of the lungs, there is an abnormal communication between arteries and veins. The abnormal communication does not allow good oxygen-carbon dioxide exchanges and behaves like [[Pulmonary Hypertension]]. Nonetheless, pulmonary vascular disorder also includes acute ([[Pulmonary embolism (thromboembolism), acute]]) and chronic ([[Pulmonary embolism (thromboembolism), chronic]]) thromboembolic disease (blood clot) (how about [[Pulmonary embolism (thromboembolism), septic]]?), [[Pulmonary Hypertension]], and pulmonary veno-occlusive disease. It can present as an acute process, such as blood clots traveling to the lungs, or as a slow progressing disease like [[Arteriovenous malformation (AVM)|AVM]] revealing itself over months and years.
-{{discussion}} If it includes all those, should they be considered implied? Or ''can'' it include all those, in which chase they would be preferrable alternate diagnoses, since NOS should only be coded when specific is not available.
 == Alternate ICD10s to consider coding instead or in addition ==