Pulmonary hypertension due to left heart disease
ICD-10 I27.22 is a billable code used to indicate a diagnosis of pulmonary hypertension due to left heart disease.
Pulmonary hypertension due to left heart disease (I27.22) is a condition characterized by elevated blood pressure in the pulmonary arteries as a result of left-sided heart dysfunction. This can occur due to various left heart conditions, including left ventricular systolic or diastolic dysfunction, mitral valve disease, or aortic valve disease. Clinically, patients may present with symptoms such as dyspnea on exertion, fatigue, and signs of right heart failure, including peripheral edema and ascites. The anatomy involved primarily includes the left ventricle, mitral and aortic valves, and the pulmonary circulation. Disease progression can lead to worsening pulmonary hypertension, which may result in right ventricular hypertrophy and eventual heart failure. Diagnostic considerations include echocardiography, which can assess left heart function and estimate pulmonary artery pressures, as well as right heart catheterization for definitive diagnosis. The management of pulmonary hypertension due to left heart disease focuses on treating the underlying left heart condition to alleviate the pulmonary hypertension.
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
I27.22 covers pulmonary hypertension that is secondary to left heart diseases such as heart failure, valvular heart disease, and cardiomyopathies that lead to elevated pressures in the pulmonary circulation.
I27.22 should be used when pulmonary hypertension is specifically attributed to left heart disease, distinguishing it from primary pulmonary hypertension or pulmonary hypertension due to other causes.
Documentation should include evidence of left heart disease, such as echocardiographic findings, clinical symptoms of heart failure, and any relevant diagnostic tests that confirm elevated pulmonary artery pressures.
