ICD-10-CM Code I27.81

Cor pulmonale (chronic)

Version 2021 Billable Code

Valid for Submission

I27.81 is a billable code used to specify a medical diagnosis of cor pulmonale (chronic). The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code I27.81 might also be used to specify conditions or terms like chronic cor pulmonale or chronic pulmonary heart disease or chronic right-sided heart failure or cor pulmonale or pulmonary heart disease.

ICD-10:I27.81
Short Description:Cor pulmonale (chronic)
Long Description:Cor pulmonale (chronic)

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code I27.81:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Cor pulmonale NOS

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • acute cor pulmonale I26.0

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code I27.81 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Chronic cor pulmonale
  • Chronic pulmonary heart disease
  • Chronic right-sided heart failure
  • Cor pulmonale
  • Pulmonary heart disease

Clinical Information

  • PULMONARY HEART DISEASE-. hypertrophy and dilation of the right ventricle of the heart that is caused by pulmonary hypertension. this condition is often associated with pulmonary parenchymal or vascular diseases such as chronic obstructive pulmonary disease and pulmonary embolism.

Diagnostic Related Groups

The ICD-10 code I27.81 is grouped in the following groups for version MS-DRG V38.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2021.

  • 314 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC
  • 315 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC
  • 316 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC

Convert I27.81 to ICD-9

  • 416.9 - Chr pulmon heart dis NOS (Approximate Flag)

Code Classification

  • Diseases of the circulatory system (I00–I99)
    • Pulmonary heart disease and diseases of pulmonary circulation (I26-I28)
      • Other pulmonary heart diseases (I27)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

Information for Patients


Pulmonary Hypertension

Also called: Pulmonary arterial hypertension

Pulmonary hypertension (PH) is high blood pressure in the arteries to your lungs. It is a serious condition. If you have it, the blood vessels that carry blood from your heart to your lungs become hard and narrow. Your heart has to work harder to pump the blood through. Over time, your heart weakens and cannot do its job and you can develop heart failure.

Symptoms of PH include

  • Shortness of breath during routine activity, such as climbing two flights of stairs
  • Tiredness
  • Chest pain
  • A racing heartbeat
  • Pain on the upper right side of the abdomen
  • Decreased appetite

As PH worsens, you may find it hard to do any physical activities.

There are two main kinds of PH. One runs in families or appears for no known reason. The other kind is related to another condition, usually heart or lung disease.

There is no cure for PH. Treatments can control symptoms. They involve treating the heart or lung disease, medicines, oxygen, and sometimes lung transplantation.

NIH: National Heart, Lung, and Blood Institute

  • Cor pulmonale (Medical Encyclopedia)
  • Lung diffusion testing (Medical Encyclopedia)
  • Pulmonary angiography (Medical Encyclopedia)
  • Pulmonary hypertension (Medical Encyclopedia)

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