Other secondary pulmonary hypertension
ICD-10 I27.29 is a billable code used to indicate a diagnosis of other secondary pulmonary hypertension.
I27.29 refers to 'Other secondary pulmonary hypertension,' a condition characterized by elevated blood pressure in the pulmonary arteries due to various underlying causes. This form of pulmonary hypertension can arise from chronic lung diseases, left heart diseases, or conditions affecting the pulmonary vasculature. Clinically, patients may present with symptoms such as dyspnea on exertion, fatigue, chest pain, and syncope. The anatomy involved primarily includes the pulmonary arteries and the right side of the heart, which must work harder to pump blood through the narrowed vessels. Disease progression can lead to right heart failure if left untreated, as the right ventricle becomes hypertrophied and eventually fails due to the increased workload. Diagnostic considerations include echocardiography, right heart catheterization, and imaging studies to identify the underlying cause of the hypertension. Accurate diagnosis is crucial for effective management and treatment planning.
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
I27.29 encompasses pulmonary hypertension secondary to various conditions, including chronic obstructive pulmonary disease (COPD), interstitial lung disease, sleep apnea, and congenital heart defects. Each of these conditions can lead to increased pressure in the pulmonary arteries, necessitating careful evaluation and management.
I27.29 should be used when pulmonary hypertension is identified as secondary to conditions not specifically categorized under other codes. It is essential to differentiate it from primary pulmonary hypertension (I27.0) and pulmonary hypertension due to left heart disease (I27.2) by documenting the specific underlying cause.
Documentation for I27.29 should include a detailed medical history, physical examination findings, results from diagnostic tests such as echocardiograms or right heart catheterization, and a clear statement of the underlying condition contributing to the pulmonary hypertension.
