Other pulmonary heart diseases
Chapter 9:Diseases of the circulatory system
ICD-10 I27 is a used to indicate a diagnosis of other pulmonary heart diseases.
I27 encompasses a variety of pulmonary heart diseases that are characterized by the involvement of the right side of the heart due to pulmonary hypertension or other pulmonary conditions. Clinically, patients may present with symptoms such as dyspnea, fatigue, chest pain, and palpitations. The anatomy involved primarily includes the right ventricle, pulmonary arteries, and the lungs. Disease progression can lead to right ventricular hypertrophy and eventual heart failure if left untreated. Diagnostic considerations include echocardiography, right heart catheterization, and imaging studies to assess pulmonary pressures and cardiac function. Conditions such as chronic obstructive pulmonary disease (COPD), interstitial lung disease, and pulmonary embolism can contribute to the development of pulmonary heart disease, necessitating a comprehensive evaluation of the patient's respiratory and cardiovascular status.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
I27 covers conditions such as pulmonary hypertension due to left heart disease, pulmonary hypertension due to lung diseases, and chronic thromboembolic pulmonary hypertension. Each condition has specific diagnostic criteria that must be met for accurate coding.
I27 should be used when the primary issue is related to pulmonary heart disease resulting from pulmonary conditions, rather than isolated heart conditions or pulmonary embolism, which would be coded under I26 or I28.
Documentation should include clinical findings, diagnostic imaging results, and any relevant pulmonary function tests that establish the diagnosis of pulmonary heart disease. Clear linkage between pulmonary conditions and heart involvement is essential.
