ARDS (noncardiogenic pulmonary edema): Difference between revisions
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*'''A'''cute '''R'''espiratory '''D'''istress '''S'''yndrome | *'''A'''cute '''R'''espiratory '''D'''istress '''S'''yndrome | ||
*Do not use this code if the patient has [[Transfusion-related acute lung injury (TRALI, form of ARDS)]] | *Do not use this code if the patient has [[Transfusion-related acute lung injury (TRALI, form of ARDS)]] | ||
*There have been a series of case definitions of ARDS over the years. For now we will use the latest, the "Berlin Definition", requiring ALL of these 4 criteria: | |||
**Timing -- Within 1 week of a known clinical insult or new or worsening respiratory symptoms. Though note that this time interval is ''usually'' <72 hours. | |||
**Imaging -- (new) '''bilateral''' opacities '''consistent with pulmonary edema''' -- not fully explained by effusions, lobar/lung collapse, or nodules. Prior definitions required 3 or 4 quadrants be involved, and though the Berlin definition only requires bilateral, one is more convinced if it is 3-4 quadrants. | |||
**Pulmonary edema -- Respiratory failure NOT fully explained by cardiac failure or fluid overload. This vague statement further says "as judged by the treating physician using all available data" and that if there are no ARDS risk factors (i.e. causes) present, that objective assessment such as Echo is need to exclude CHF. | |||
**Oxygenation -- a PaO2/FIO2 ratio <300 on PEEP or CPAP of '''at least 5 cmH2O'''. | |||
*Note in relation to COVID-19: | |||
*[https://en.wikipedia.org/wiki/Acute_respiratory_distress_syndrome ARDS] | *[https://en.wikipedia.org/wiki/Acute_respiratory_distress_syndrome ARDS] | ||
Revision as of 10:15, 15 October 2020
| ICD10 Diagnosis | |
| Dx: | ARDS (noncardiogenic pulmonary edema) |
| ICD10 code: | J80 |
| Pre-ICD10 counterpart: | ARDS |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
- Acute Respiratory Distress Syndrome
- Do not use this code if the patient has Transfusion-related acute lung injury (TRALI, form of ARDS)
- There have been a series of case definitions of ARDS over the years. For now we will use the latest, the "Berlin Definition", requiring ALL of these 4 criteria:
- Timing -- Within 1 week of a known clinical insult or new or worsening respiratory symptoms. Though note that this time interval is usually <72 hours.
- Imaging -- (new) bilateral opacities consistent with pulmonary edema -- not fully explained by effusions, lobar/lung collapse, or nodules. Prior definitions required 3 or 4 quadrants be involved, and though the Berlin definition only requires bilateral, one is more convinced if it is 3-4 quadrants.
- Pulmonary edema -- Respiratory failure NOT fully explained by cardiac failure or fluid overload. This vague statement further says "as judged by the treating physician using all available data" and that if there are no ARDS risk factors (i.e. causes) present, that objective assessment such as Echo is need to exclude CHF.
- Oxygenation -- a PaO2/FIO2 ratio <300 on PEEP or CPAP of at least 5 cmH2O.
- Note in relation to COVID-19:
|
Allan, could you please summarize the parameters that we are using in order to code ARDS, as well as figure out if and when we should be using this in relation to COVID-19? |
Alternate ICD10s to consider coding instead or in addition
- Respiratory failure (insufficiency) NOS, acute
- Respiratory failure (insufficiency), chronic
- Respiratory failure (insufficiency) NOS, not specified as acute or chronic
- Hypercapnia (hypercarbia)
- Hypoxemia (hypoxia)
- ARDS (noncardiogenic pulmonary edema)
- Transfusion-related acute lung injury (TRALI, form of ARDS)
- Respiratory arrest
Candidate Combined ICD10 codes
- Also code the cause, if known.
Related CCI Codes
Data Integrity Checks (automatic list)
none found
Related Articles
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