#Pulmonary barotrauma icd 10 code#

Were I an auditor and I noticed J80 being used without clear documentation of an intrapulmonary process I would target you for denials.ĪRDS generally only occurs in things like trauma, shock, massive PE, sepsis, poor surgical outcomes or NICU premie populations. ARDS is an independent diagnosis which requires a true and demonstrable intra-pulmonary pathology and is not appropriate for patients who simply have trouble weaning from the vent. Even when written clearly, less trained and less confident coders may still fail to apply this coding rule and report both conditions on the same episode of care.Īnother word of caution be VERY CAREFUL reporting ARDS. In order for the coder to override the excludes 1 note, guidelines require it be very clear that the two conditions are unrelated clinical processes, which is often absent the record. This is because pneumonia caused respiratory failure but shock or barotrauma caused the ARDS, and that is the key.

#Pulmonary barotrauma icd 10 code#

This means they will usually not be reported together.Īn example of an exception would be a patient who comes in with respiratory failure from pneumonia present on admission yes and subsequently develops ARDS due to shock/sepsis or barotrauma could receive ICD 10 code J80 with a POA of N.

This means that the two conditions cannot be reported together UNLESS they are due to unrelated pathophysiological processes. The entire J96 ICD category for Respiratory Failure is an excludes 1 with J80 for ARDS. ) or the International Classi- fication for Diseases, 10th revision (ICD-10).