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
Traumatic pneumothorax and lung injury
Includes codes for lung injuries like contusion.
Injuries to the thorax
Encompasses various chest injuries, including lung trauma.
Injury, poisoning and certain other consequences of external causes
Broad category covering injuries from external factors.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the pulmonary contusion traumatic?
When to use each related code
| Description |
|---|
| Pulmonary contusion |
| Flail chest |
| Hemothorax |
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-.
Pulmonary contusion requires documentation of traumatic cause. Lack of trauma documentation may lead to denials and improper coding. CDI review is crucial.
Overlooking associated injuries like rib fractures or pneumothorax with pulmonary contusion impacts reimbursement and quality metrics. Thorough documentation is key.
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.