Not Valid for Submission
J81 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of pulmonary edema. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding for Pulmonary edema
Non-specific codes like J81 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for pulmonary edema:
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 coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code J81:
Use Additional CodeUse Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
- code to identify:
- exposure to environmental tobacco smoke Z77.22
- history of tobacco dependence Z87.891
- occupational exposure to environmental tobacco smoke Z57.31
- tobacco dependence F17
- tobacco use Z72.0
Type 1 ExcludesType 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.
- PULMONARY EDEMA-. excessive accumulation of extravascular fluid in the lung an indication of a serious underlying disease or disorder. pulmonary edema prevents efficient pulmonary gas exchange in the pulmonary alveoli and can be life threatening.
Information for Patients
When you breathe, your lungs take in oxygen from the air and deliver it to the bloodstream. The cells in your body need oxygen to work and grow. During a normal day, you breathe nearly 25,000 times. People with lung disease have difficulty breathing. Millions of people in the U.S. have lung disease. If all types of lung disease are lumped together, it is the number three killer in the United States.
The term lung disease refers to many disorders affecting the lungs, such as asthma, COPD, infections like influenza, pneumonia and tuberculosis, lung cancer, and many other breathing problems. Some lung diseases can lead to respiratory failure.
Dept. of Health and Human Services Office on Women's Health
[Learn More in MedlinePlus]