2025 ICD-10-CM code J68.1
(Active) Effective Date: N/A Diseases of the respiratory system - Lung diseases due to external agents 10 Feed
Pulmonary edema due to chemicals, gases, fumes, and vapors.
Medical necessity is established by the presence of pulmonary edema documented by physical examination, imaging studies, or other diagnostic tests, coupled with a clear history of exposure to inhaled chemicals, gases, fumes, or vapors. The documentation should support a direct causal relationship between the exposure and the development of the edema.
The clinician is responsible for determining the cause of the pulmonary edema and ensuring that the documentation clearly supports the diagnosis.This involves a thorough history, including exposure to potential inhaled toxins, physical examination, and appropriate diagnostic tests, such as chest X-ray, arterial blood gas analysis, and possibly pulmonary function tests.The clinician should also document the severity of the edema and any associated respiratory conditions.
In simple words: This code indicates fluid in the lungs caused by breathing in harmful substances like chemicals, gases, fumes, or vapors.
This code describes pulmonary edema (fluid buildup in the lungs) resulting from the inhalation of harmful chemicals, gases, fumes, or vapors.It includes both acute and chronic forms of chemical pulmonary edema.
Example 1: A firefighter develops acute pulmonary edema after inhaling smoke and fumes during a building fire., A factory worker experiences chronic pulmonary edema after long-term exposure to chemical vapors in a poorly ventilated workspace., A homeowner develops pulmonary edema after being exposed to chlorine gas from a ruptured swimming pool chlorinator.
Documentation should include evidence of pulmonary edema (e.g., from imaging or physical exam), the specific chemical, gas, fume, or vapor involved, and the circumstances of the exposure.Additional documentation may be required to support the causal link between the exposure and the edema.Any associated respiratory conditions should also be documented.
** For accurate coding, always prioritize precise documentation of exposure and clinical findings related to the pulmonary edema.
- Specialties:Pulmonology, Critical Care Medicine, Occupational Medicine, Emergency Medicine, Internal Medicine
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Office,Other Place of Service