AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 1; Ask the Editor

Pulmonary Edema due to Near Drowning

A patient developed hypoxia due to acute pulmonary edema following a near drowning in the pool at his home. The patient was treated with supplemental oxygen and noninvasive ventilation (NIV). How is acute pulmonary edema due to near drowning coded? ICD-10-CM’s Index under Edema, lung, due to near drowning leads to code T75.1 -, Unspecified effects of drowning and nonfatal submersion. This appears to conflict with the Excludes1 note in the Tabular List under code T75.1-, which states to code the specified effects. When acute pulmonary edema is due to near drowning, is it appropriate to assign code J81.0, Acute pulmonary edema, as the effect of near drowning to fully capture the patient’s condition? ...

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