Arteriovenous fistula of pulmonary vessels
ICD-10 I28.0 is a billable code used to indicate a diagnosis of arteriovenous fistula of pulmonary vessels.
Arteriovenous fistula of pulmonary vessels is an abnormal connection between the pulmonary arteries and veins, leading to altered hemodynamics and oxygenation. Clinically, patients may present with symptoms such as dyspnea, cyanosis, and fatigue due to reduced oxygen delivery to tissues. The anatomy involved includes the pulmonary arteries, which carry deoxygenated blood from the heart to the lungs, and the pulmonary veins, which return oxygenated blood to the heart. Disease progression can lead to complications such as pulmonary hypertension, heart failure, or right-to-left shunting, which exacerbates hypoxemia. Diagnostic considerations include imaging studies such as echocardiography, CT angiography, or MRI to visualize the fistula and assess its hemodynamic impact. Early detection and intervention are crucial to prevent severe complications and 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
I28.0 specifically covers arteriovenous fistulas involving the pulmonary vessels, which can occur due to congenital anomalies, trauma, or as a complication of certain diseases. It does not include other types of vascular malformations or fistulas located outside the pulmonary system.
I28.0 should be used when there is a confirmed diagnosis of an arteriovenous fistula specifically affecting the pulmonary vessels. It is important to differentiate it from other conditions such as pulmonary arteriovenous malformations (I28.1) or other vascular anomalies to ensure accurate coding and appropriate treatment.
Documentation supporting I28.0 should include detailed clinical assessments, imaging studies confirming the presence of the fistula, and any relevant laboratory results. Clinical notes should describe symptoms, the impact on the patient's health, and any interventions performed.
