Disorder of pulmonary vessels, NOS
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| ICD10 Diagnosis | |
| Dx: | Disorder of pulmonary vessels, NOS |
| ICD10 code: | I28 |
| Pre-ICD10 counterpart: | none assigned |
| 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
- This code includes disorders of pulmonary arteries, pulmonary veins, or pulmonary capillaries that are not specified in other codes.
- So it includes:
- ruptures (check for other codes first)
- aneurysms (eg pulmonary artery aneurysm)
- A-V fistula (arteriovenous fistula)
- BUT it does NOT include:
- pulmonary embolism or thromboembolism of any type/cause (Pulmonary embolism (thromboembolism), acute, Pulmonary embolism (thromboembolism), septic, Pulmonary embolism (thromboembolism), chronic)
- pulmonary hypertension of any type/cause (Pulmonary hypertension, primary (PPH), Pulmonary hypertension, NOS, Pulmonary hypertension, secondary (any cause))
- Cor pulmonale (right heart failure due to lung disease without left heart failure)
- pulmonary arteriovenous malformation (Arteriovenous malformation (AVM))
- 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 AVM revealing itself over months and years.
Alternate ICD10s to consider coding instead or in addition
Candidate Combined ICD10 codes
Infections
Infections in ICD10 have combined coding requirements for some of their pathogens. Any that have antibiotic resistances would store those as Combined ICD10 codes as well. If the infection is acquired in the hospital, see Nosocomial infection, NOS. See Lab and culture reports for confirmation and details about tests. See Infections in ICD10 for more general info.
Possible Simultaneous Presence of Multiple Different Types of Infection in a Single Site
- This refers to the situation where there may be simultaneous infection with multiple types of organisms -- e.g. 2 of bacteria, virus, fungus. While a classic example is a proven viral pneumonia (e.g. influenza) with a suspected/possible bacterial pneumonia superimposed, this kind of thing can occur in places other than the lungs, e.g. meningitis.
- The "signature" of this is typically the patient being treated simultaneously with antimicrobial agents for multiple types of organisms. BUT don't confuse this with there being infections at DIFFERENT body sites.
- As per our usual practice, we will consider a diagnosis as present if the clinical team thinks it's present and are treating it, with the exception that the team initially treated for the possible 2nd type of infection but then decided it likely was NOT present and stopped those agents.
- And remember that Infectious organism, unknown is used when the the specific organism is unknown (this could be not knowing the TYPE of organism, or suspecting the type but not having identified the specific organism of that type), while when the organism has been identified but it's not in our bug list, THEN use Bacteria, NOS, Virus, NOS or Fungus or yeast, NOS.
Attribution of infections
Related CCI Codes
Data Integrity Checks (automatic list)
| App | Status | |
|---|---|---|
| Query check ICD10 Inf Potential Infection must have pathogen or alt | CCMDB.accdb | declined |
| Query Check Inf Pathogens must have Infection requiring pathogen or Potential Infection | CCMDB.accdb | implemented |
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