Chronic thromboembolic pulmonary hypertension
ICD-10 I27.24 is a billable code used to indicate a diagnosis of chronic thromboembolic pulmonary hypertension.
Chronic thromboembolic pulmonary hypertension (CTEPH) is a form of pulmonary hypertension that arises from the obstruction of pulmonary arteries due to organized blood clots. Clinically, patients may present with symptoms such as dyspnea on exertion, fatigue, chest pain, and syncope. The anatomy involved primarily includes the pulmonary arteries, which become narrowed or blocked, leading to increased pulmonary vascular resistance and right heart strain. Over time, this condition can progress to right heart failure if left untreated. Diagnosis typically involves a combination of imaging studies, such as CT pulmonary angiography, echocardiography, and right heart catheterization to measure pulmonary artery pressures. It is crucial to differentiate CTEPH from other forms of pulmonary hypertension, as treatment options may vary significantly, including anticoagulation, pulmonary endarterectomy, and targeted medical therapies. Early recognition and intervention are vital to improve patient outcomes.
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
I27.24 specifically covers chronic thromboembolic pulmonary hypertension, which is characterized by pulmonary artery obstruction due to organized thrombi. It is essential to confirm the chronicity of the condition and the presence of pulmonary hypertension through appropriate diagnostic tests.
I27.24 should be used when the patient has a confirmed diagnosis of chronic thromboembolic pulmonary hypertension, particularly when there is evidence of prior pulmonary embolism and ongoing symptoms of pulmonary hypertension. It is distinct from other forms of pulmonary hypertension that may not involve thromboembolic origins.
Documentation for I27.24 should include diagnostic imaging results confirming chronic thromboembolic disease, evidence of pulmonary hypertension from right heart catheterization, and a detailed clinical history that supports the diagnosis and treatment plan.
