Chronic pulmonary embolism
ICD-10 I27.82 is a billable code used to indicate a diagnosis of chronic pulmonary embolism.
Chronic pulmonary embolism (CPE) is a condition characterized by the obstruction of pulmonary arteries due to blood clots that have persisted over time. Clinically, patients may present with symptoms such as dyspnea, fatigue, and chest pain, which can be subtle and often mistaken for other respiratory or cardiac conditions. The anatomy involved primarily includes the pulmonary arteries, which transport deoxygenated blood from the heart to the lungs. Over time, chronic pulmonary embolism can lead to pulmonary hypertension and right heart failure due to increased pressure in the pulmonary circulation. Diagnosis typically involves imaging studies such as CT pulmonary angiography or ventilation-perfusion scans, alongside clinical evaluation. It is crucial to differentiate CPE from acute pulmonary embolism, as the management strategies differ significantly. Chronic pulmonary embolism may require long-term anticoagulation therapy, and in some cases, surgical intervention such as pulmonary thromboendarterectomy may be indicated 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
I27.82 covers chronic pulmonary embolism, which may arise from unresolved acute pulmonary emboli or recurrent embolic events leading to persistent pulmonary artery obstruction.
I27.82 should be used when there is clear evidence of chronic pulmonary embolism, typically indicated by persistent symptoms and imaging findings that confirm chronic obstruction, as opposed to acute events coded under I26.
Documentation should include a detailed clinical history, imaging studies confirming chronic pulmonary embolism, treatment plans, and follow-up evaluations to support the diagnosis.
