Disorder of pulmonary vessels, NOS
|Dx:||Disorder of pulmonary vessels, NOS|
|Pre-ICD10 counterpart:||none assigned|
|APACHE Como Component:||none|
|APACHE Acute Component:||none|
|External ICD10 Documentation|
- 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 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.
This diagnosis is about a potential infection; this means it could be an infectious disease or not. This means we can not do any cross checks about it. Please remember to code the pathogen and any possible antibiotic resistance.
Attribution of infections
Related CCI Codes
Data Integrity Checks (SMW)
|Check Inf Pathogens must have Infection requiring pathogen or Potential Infection||CCMDB.accdb||implemented|
|Query check ICD10 Inf Potential Infection must have pathogen or alt||CCMDB.accdb||implemented|