I27.89
BillableOther specified pulmonary heart diseases
HCC Category Mapping
V28HCC 226 — Heart Failure, Specified
0.000V24HCC 85 — Congestive Heart Failure
0.368ESRDHCC 85 — Congestive Heart Failure
0.000RxHCCHCC 184 — Pulmonary Hypertension, Other
0.000What This Code Means
Other rare or unusual diseases affecting the heart and lungs that don't fit into more specific categories.
Coding Tips
- •Use this code only when a more specific pulmonary heart disease code is not available
- •Documentation should clearly describe the specific condition being coded
Clinical Significance
This code captures specified pulmonary heart diseases that do not fit into more specific subcategories. It includes rare conditions affecting the pulmonary vasculature and right heart that require specialized cardiopulmonary management. Documentation of the specific condition is critical for clinical accuracy and audit support.
Documentation Requirements
- ✓Provider diagnosis of a specific pulmonary heart disease
- ✓Documentation of the condition that does not fit other I27 subcategories
- ✓Clinical evidence supporting the cardiopulmonary diagnosis
- ✓Description of the specific disease process affecting the heart and lungs
- ✓Current treatment plan and monitoring requirements
Commonly Confused Codes
I27.81 — Cor pulmonale (chronic); use when specifically chronic right heart failure from lung diseaseI27.9 — Pulmonary heart disease, unspecified; less specific than I27.89I27.0 — Primary pulmonary hypertension; use for idiopathic pulmonary arterial hypertensionI27.83 — Eisenmenger syndrome; a specific congenital condition with its own code
Code Hierarchy
└I27Other pulmonary heart diseases└I27.8Other specified pulmonary heart diseases└I27.89Other specified pulmonary heart diseases
└I27.89Other specified pulmonary heart diseases