Cyanosis
ICD-10 R23.0 is a billable code used to indicate a diagnosis of cyanosis.
Cyanosis is a clinical sign characterized by a bluish discoloration of the skin and mucous membranes, resulting from an increased concentration of deoxygenated hemoglobin in the blood. It can be observed in various body parts, most notably in the lips, fingertips, and toes. Cyanosis can be classified into central and peripheral types. Central cyanosis occurs when there is a systemic lack of oxygen, often due to respiratory or cardiac conditions, while peripheral cyanosis is typically localized and may result from vasoconstriction or reduced blood flow. Common causes include respiratory diseases (such as chronic obstructive pulmonary disease), congenital heart defects, and exposure to cold temperatures. The diagnostic approach involves a thorough clinical assessment, including history-taking and physical examination, along with laboratory tests such as arterial blood gas analysis to evaluate oxygen saturation levels. Identifying the underlying cause is crucial for appropriate management and treatment.
Detailed patient history, physical examination findings, and lab results must be documented to support the diagnosis of cyanosis.
Patients presenting with chronic respiratory conditions, heart failure, or anemia may exhibit cyanosis.
Consideration of comorbidities and their impact on oxygenation is essential for accurate coding.
Acute care documentation must include vital signs, oxygen saturation levels, and immediate interventions taken.
Acute presentations of respiratory distress, cardiac events, or trauma leading to cyanosis.
Rapid assessment and documentation are critical in emergency settings to ensure appropriate coding.
Used to assess lung function in patients presenting with cyanosis.
Document indications for testing and results to support diagnosis.
Internal medicine specialists often order these tests for chronic respiratory conditions.
Central cyanosis is characterized by a bluish discoloration of the lips and trunk, indicating systemic hypoxemia, while peripheral cyanosis affects the extremities and is often due to localized vasoconstriction or reduced blood flow.
