ESRD w/FO & Pulm Edema

CC 3Q07p11 notes that FO is the PDX when due to ESRD.  If non-cardiogenic acute pulmonary edema is present in these cases (J81.0), is it coded as an additional dx, PDX or not at all? 

Comments

  • CC 3Q07p11 notes that FO is the PDX when due to ESRD.  If non-cardiogenic acute pulmonary edema is present in these cases (J81.0), is it coded as an additional dx, PDX or not at all? 

  • Key Concepts

    FO is solely 2/2 ESRD and not a Form of CHF?

    Is Acute PE  non-cardiogenic?

    IF not stated by MD,  PE and or FO will be coded as component of CHF as integral to CHF?


    Dr Pinson's/ Cynthia Tang, RHIA, CCS Guide covers this very nicely....see that if you have a copy



    FO is PDX if pt has no H/O CHF or evidence of CHF, or has H/O CHF and record documents the fluid overload was NON-Cardiogenc in nature OR the CHF was not acute/decompesated

    Logic below:


    Paul Evans, RHIA


    Complete this Section if NO form of CHF is present

      No form of CHF (or other significant cardiopulmonary process) present

      Non-Cardiogenic Fluid Overload due o____________________________________________________

      Non-Cardiogenic Acute Pulmonary Edema due ____________________________________________

  • Paul - it was clarified that this was not CHF.  I'm wondering if J81.0 would be secondary to fluid overload, or the principal dx or not coded. 
  • If not 2/2 CHF or acute non cardiogenic pulmonary edema,  then   The fluid overload would be the principal.
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