Facebook tracking pixelPersonal History of Pulmonary Embolism - AI-Powered ICD-10 Documentation
Z86.711
ICD-10-CM
Personal History of Pulmonary Embolism

Find information on documenting and coding a personal history of pulmonary embolism. This resource covers clinical documentation requirements, ICD-10 code Z86.711 for personal history of pulmonary embolism, best practices for healthcare providers, and tips for accurate medical coding. Learn about diagnosis documentation, past medical history, and appropriate terminology for a patient with a history of PE. Improve your understanding of pulmonary embolism diagnosis coding and documentation guidelines.

Also known as

History of PE
Resolved Pulmonary Embolism

Diagnosis Snapshot

Key Facts
  • Definition : Prior blockage of a lung artery by a blood clot.
  • Clinical Signs : Often asymptomatic, but can include shortness of breath, chest pain, and cough.
  • Common Settings : Hospital, clinic, or emergency room following imaging (CTPA, VQ scan).

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z86.711 Coding
Z86.710

Personal history of pulmonary embolism

Indicates a past episode of pulmonary embolism.

I26

Pulmonary embolism

Covers current pulmonary embolism diagnoses, not history.

Z86.718

Personal history of other venous embolism

Relates to past venous embolisms, possibly including pulmonary.

Code-Specific Guidance

Decision Tree for

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. Code the acute pulmonary embolism (I26.-)

  • No

    Is there any residual effect?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Prior pulmonary embolism
Family history of PE
Personal history of DVT

Documentation Best Practices

Documentation Checklist
  • Pulmonary embolism diagnosis date
  • PE confirmed by imaging study
  • Specify acute or chronic PE
  • Document any prior DVT or PE
  • List anticoagulation therapy dates

Coding and Audit Risks

Common Risks
  • Code Specificity

    Using unspecified codes (e.g., Z86.79) when more specific personal history codes (e.g., Z86.711) are applicable, impacting risk adjustment.

  • Clinical Validation

    Lack of proper documentation to support the diagnosis, leading to potential coding errors and denials. CDI review needed for accuracy.

  • Excluding Active PE

    Incorrectly coding active pulmonary embolism (I26.9) instead of personal history, affecting quality reporting and reimbursement.

Mitigation Tips

Best Practices
  • Document PE risk factors: immobility, surgery, etc.
  • Specify PE onset date or timeframe for accurate coding.
  • Confirm PE diagnosis with imaging: e.g., CTPA, VQ scan.
  • Distinguish acute PE from chronic or resolved for CDI.
  • Note if PE is recurrent to avoid undercoding complexities.

Clinical Decision Support

Checklist
  • Confirm prior PE diagnosis: imaging/angiogram report
  • Verify date of PE event: consistent documentation
  • Check for anticoagulation history: type and duration
  • Assess for residual symptoms: dyspnea, chest pain

Reimbursement and Quality Metrics

Impact Summary
  • Pulmonary Embolism History: Coding (Z86.718) impacts MS-DRG assignment & reimbursement.
  • Accurate Z86.718 coding affects quality metrics like VTE readmission rates.
  • Personal history documentation key for risk adjustment & appropriate reimbursement.
  • Pulmonary embolism history coding impacts hospital reporting on chronic conditions.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code Z86.711, history of PE
  • Document PE confirmation details
  • Specify acute vs chronic PE
  • Query physician if unclear
  • Check for related DVT coding

Documentation Templates

Patient presents with a personal history of pulmonary embolism (PE).  The initial diagnosis of PE was made on [Date of original diagnosis] and was confirmed by [Diagnostic method used, e.g., CT pulmonary angiography, ventilation-perfusion scan].  The patient's prior pulmonary embolism risk factors included [List risk factors, e.g., deep vein thrombosis, recent surgery, prolonged immobility, oral contraceptives, family history of thromboembolic disease, factor V Leiden mutation, malignancy].  The patient's prior PE symptoms included [List symptoms, e.g., sudden onset shortness of breath, chest pain, cough, hemoptysis].  The patient was previously treated with [Specify treatment, e.g., anticoagulation therapy with warfarin, rivaroxaban, apixaban, dabigatran; thrombolysis].  Duration of prior anticoagulation therapy was [Duration].  The patient's current symptoms related to their history of PE include [List current symptoms or indicate "none"].  Current medications include [List current medications].  Assessment of current PE risk factors includes [List current risk factors or indicate "none"].  Plan includes [Specify plan, e.g., continued surveillance, anticoagulation management, referral to hematology, further diagnostic testing if indicated].  Patient education provided regarding signs and symptoms of recurrent PE, importance of medication compliance, and follow-up appointments.  This documented history of pulmonary embolism impacts current medical decision-making regarding [Specify impact, e.g., choice of anticoagulation, duration of therapy, need for prophylaxis in high-risk situations].  ICD-10 code Z86.711 (Personal history of pulmonary embolism) applies.