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J81.1

Billable

Chronic pulmonary edema

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Long-term fluid accumulation in the lungs, usually related to chronic heart disease or other ongoing medical conditions.

Coding Tips

  • •Document the underlying chronic condition (e.g., chronic heart failure) with an additional code
  • •Ensure documentation clearly indicates the chronic nature of the condition to distinguish from acute pulmonary edema

Code Hierarchy

└J81Pulmonary edema└J81.1Chronic pulmonary edema
└J81.1Chronic pulmonary edema

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