ARDS (noncardiogenic pulmonary edema)

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:
Data Dependencies(Reports/Indicators/Data Elements):	No results
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

• SMW
  • 2019-01-01
  • 2999-12-31
  • J80

• Cargo

• Categories

• SMW

• Cargo

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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:

• ARDS

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?

• SMW

• Cargo

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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

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ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus Deep Tissue Damage, Decubitus Stage 1, Decubitus Stage 2, Decubitus Stage 3, Decubitus Stage 4, Decubitus Stage Not Indicated, Decubitus Stage not indicated, Decubitus heel, Decubitus other area, Decubitus sacral area, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Electrolyte disturbance, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection... further results