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S27.319A
ICD-10-CM
Pulmonary Contusion

Find information on pulmonary contusion diagnosis, including clinical documentation requirements, ICD-10 codes S27.4 and S27.5, medical coding guidelines, symptoms, treatment options, and best practices for healthcare professionals. Learn about lung injury, chest trauma, and respiratory complications associated with pulmonary contusion. This resource provides comprehensive guidance for accurate diagnosis and optimal patient care related to pulmonary contusion.

Also known as

Lung Contusion
Pulmonary Bruise

Diagnosis Snapshot

Key Facts
  • Definition : Bruised lung tissue causing bleeding and swelling, impairing oxygen exchange.
  • Clinical Signs : Shortness of breath, chest pain, coughing (sometimes bloody), low oxygen levels.
  • Common Settings : Trauma (car accidents, falls), blast injuries, CPR.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC S27.319A Coding
S27.0-

Traumatic pneumothorax and lung injury

Includes codes for lung injuries like contusion.

S20-S29

Injuries to the thorax

Encompasses various chest injuries, including lung trauma.

S00-T98

Injury, poisoning and certain other consequences of external causes

Broad category covering injuries from external factors.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the pulmonary contusion traumatic?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Pulmonary contusion
Flail chest
Hemothorax

Documentation Best Practices

Documentation Checklist
  • Pulmonary contusion diagnosis: Document mechanism of injury
  • Confirm with imaging: Chest X-ray or CT scan findings
  • Symptom documentation: Dyspnea, tachypnea, hemoptysis
  • Oxygen saturation levels and ABG results if obtained
  • Exclude pneumothorax, hemothorax: Differential diagnosis

Coding and Audit Risks

Common Risks
  • Unspecified Laterality

    Coding pulmonary contusion without specifying laterality (right, left, or bilateral) leads to claim rejection and inaccurate data reporting. Use S27.21-, S27.22-, or S27.29-.

  • Missing Traumatic Cause

    Pulmonary contusion requires documentation of traumatic cause. Lack of trauma documentation may lead to denials and improper coding. CDI review is crucial.

  • Concomitant Injuries

    Overlooking associated injuries like rib fractures or pneumothorax with pulmonary contusion impacts reimbursement and quality metrics. Thorough documentation is key.

Mitigation Tips

Best Practices
  • Thorough lung auscultation, imaging for accurate ICD-10-CM S27.4 documentation
  • Document injury mechanism, symptom onset for accurate diagnosis, compliant billing
  • Serial CXR, ABG monitoring for severity assessment, guiding treatment (CPT 94060, 94010)
  • Timely respiratory support initiation, oxygen therapy for optimal patient outcome
  • Pain management improves ventilation, aiding recovery, adhering to healthcare compliance

Clinical Decision Support

Checklist
  • Hx: Chest trauma, rapid breathing, hypoxia
  • PE: Chest wall bruising, decreased breath sounds
  • Imaging: CXR or CT showing patchy opacities
  • Labs: ABG may show hypoxemia, respiratory acidosis
  • R/O: Pneumothorax, hemothorax, cardiac contusion

Reimbursement and Quality Metrics

Impact Summary
  • Pulmonary Contusion reimbursement hinges on accurate ICD-10 S27.4 coding, impacting DRG assignment and hospital payments.
  • Coding quality affects APR-DRG severity, impacting Case Mix Index and hospital financial performance.
  • Precise documentation of Pulmonary Contusion severity is crucial for accurate Present on Admission (POA) reporting, influencing quality metrics.
  • Thoracic injury coding specificity impacts trauma registry data, affecting hospital trauma level designation and resource allocation.

Streamline Your Medical Coding

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

Quick Tips

Practical Coding Tips
  • Document blunt trauma mechanism
  • Code S27.4 with laterality
  • Query physician for severity
  • Consider associated hemo/pneumothorax
  • Review imaging for confirmation

Documentation Templates

Patient presents with symptoms suggestive of pulmonary contusion following [mechanism of injury, e.g., blunt chest trauma, motor vehicle accident].  Symptoms include [list presenting symptoms, e.g., dyspnea, tachypnea, chest pain, hemoptysis, hypoxia].  Physical examination reveals [list pertinent positive and negative findings, e.g., decreased breath sounds, chest wall bruising, crepitus, tachycardia].  Imaging studies, including [specify imaging modality, e.g., chest X-ray, CT scan], demonstrate [describe imaging findings, e.g., patchy infiltrates, consolidation, ground-glass opacities] consistent with pulmonary contusion.  Differential diagnoses considered include [list differential diagnoses, e.g., pneumothorax, hemothorax, rib fractures, flail chest, acute respiratory distress syndrome].  Based on clinical presentation, imaging findings, and mechanism of injury, the diagnosis of pulmonary contusion is established.  Severity of the contusion is assessed as [mild, moderate, or severe] based on [specific criteria, e.g., extent of lung involvement, oxygenation status, need for mechanical ventilation].  Treatment plan includes [describe treatment plan, e.g., supplemental oxygen, pain management, pulmonary hygiene, mechanical ventilation if indicated, monitoring for complications such as pneumonia or ARDS].  Patient education provided on [relevant topics, e.g., deep breathing exercises, incentive spirometry, importance of follow-up care].  Patient condition is currently [stable, guarded, critical] and requires [level of care, e.g., inpatient admission, observation, discharge with follow-up].  Prognosis is [favorable, guarded, poor] depending on the severity of the injury and the presence of associated injuries.  ICD-10 code S27.4 (Traumatic pulmonary contusion) is assigned.
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