Find comprehensive information on diagnosing a history of pulmonary embolism. This resource covers clinical documentation requirements, medical coding guidelines (ICD-10 Z86.711), risk factors, diagnostic criteria, and best practices for healthcare professionals dealing with patients with a prior PE diagnosis. Learn about the importance of accurate and complete documentation for optimal patient care and appropriate reimbursement. Explore resources related to past pulmonary embolism, previous DVT and PE, recurrent PE prevention, and chronic thromboembolic pulmonary hypertension.
Also known as
Pulmonary embolism
Conditions related to past pulmonary emboli.
Personal history of pulmonary embolism
Indicates a past episode of pulmonary embolism.
Other chronic pulmonary heart diseases
May include chronic conditions resulting from a past PE.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the pulmonary embolism currently active?
Yes
Do NOT code as history of. Code the acute pulmonary embolism (I26.9 or I26.0-I26.99).
No
Any residual effects from the past PE?
When to use each related code
Description |
---|
Pulmonary Embolism |
Deep Vein Thrombosis |
Chronic Thromboembolic Pulmonary Hypertension |
Coding for history of PE lacks acuity specificity (acute, chronic, resolved) impacting risk adjustment and quality reporting.
History of PE coded without sufficient documentation, posing a compliance risk for inaccurate claims submission.
Discrepancy between physician documentation and patient reported history of PE requiring CDI clarification for accurate coding.
Patient presents with a history of pulmonary embolism (PE). The initial diagnosis of PE was made on [Date of initial PE diagnosis] based on [Basis of initial diagnosis; e.g., positive CT pulmonary angiography, high probability VQ scan, D-dimer elevation in conjunction with concerning clinical presentation]. The patient's presenting symptoms at that time included [List initial symptoms; e.g., dyspnea, chest pain, cough, hemoptysis]. Risk factors for venous thromboembolism (VTE) identified at the time of diagnosis included [List risk factors; e.g., recent surgery, prolonged immobilization, active malignancy, family history of VTE, inherited thrombophilia, oral contraceptive use, hormone replacement therapy, pregnancy, postpartum status]. The patient was treated with [Specify initial treatment regimen; e.g., anticoagulation with warfarin, rivaroxaban, apixaban, dabigatran, low molecular weight heparin]. Duration of anticoagulation was [Specify duration; e.g., 3 months, 6 months, indefinitely]. Current symptoms related to the history of PE include [List current symptoms; e.g., residual dyspnea on exertion, chest discomfort]. The patient's current medication regimen includes [List current medications, including anticoagulants if applicable]. Physical examination reveals [Document relevant physical exam findings; e.g., clear lung sounds, normal heart rate and rhythm, no lower extremity edema]. Assessment: History of pulmonary embolism. Plan: [Outline plan; e.g., continue current anticoagulation regimen, monitor for recurrent VTE, patient education regarding signs and symptoms of recurrent PE, follow-up appointment scheduled for [date]]. ICD-10 code: I26.99 (Other pulmonary embolism). Medical billing codes may include [List relevant billing codes; e.g., 99213 for office visit, appropriate codes for any diagnostic testing or procedures performed].