514 - Pulmonary congestion and hypostasis. ICD-10-CM.
Increased Vascularity (Plethora) Increased pulmonary vascularity is typically seen in acyanotic congenital heart diseases causing a left-to-right shunt (Table 9.2). It is also seen in cyanotic congenital heart diseases that are not associated with major obstruction to pulmonary arterial blood flow.
The pulmonary vasculature is a low-pressure, high-flow circuit balancing vasodilation and constriction, with a tendency toward vasodilation.
If the medical record states "chest congestion" or just "congestion" then I would code to R09. 89 - However, if the medical record specifically states "pulmonary congestion" or "pulmonary vascular congestion" then I would code to J81.
Vascularity, in bodybuilding, is the condition of having many highly visible, prominent, and often extensively-ramified superficial veins. The skin appears "thin"—sometimes virtually transparent—due to an extreme reduction of subcutaneous fat, allowing for maximum muscle definition.
Pulmonary vascular markings are normally distinct. Indistinct markings, fissural thickening, and septal lines suggest vascular congestion and radiographic diagnosis of congestive heart failure. The cardiac diameter divided by the widest chest diameter should be less than 60%. The average value is 45% in a 70-kg man.
Pulmonary congestion is defined as accumulation of fluid in the lungs, resulting in impaired gas exchange and arterial hypoxemia. It occurs sequentially, first developing in the hilar region of the lungs, followed by filling of the interstitial space and finally, in its most severe form, by alveolar flooding.
Vascular congestion is the engorgement of an entity, such as the blood vessels of the erectile tissues, with blood. It is known to occur with deep venous thrombosis (DVT).
ICD-10 code R09. 89 for Other specified symptoms and signs involving the circulatory and respiratory systems is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
Pulmonary edema, also known as pulmonary congestion, is excessive liquid accumulation in the tissue and air spaces (usually alveoli) of the lungs. It leads to impaired gas exchange and may cause hypoxemia and respiratory failure.
I51. 7 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM I51. 7 became effective on October 1, 2021.