Summary. Saddle pulmonary embolism (PE) is an uncommon yet life threatening type of PE. In saddle PE, a blood clot becomes lodged at the intersection where the main pulmonary artery divides and branches into the left and right lungs.
I74. 01 - Saddle embolus of abdominal aorta. ICD-10-CM.
What is a saddle pulmonary embolism? Saddle PE is when a large blood clot (thrombus) gets stuck where the main pulmonary artery branches off into a Y-shape to go into each lung. The name refers to the fact that the clot “saddles” on top of both branch arteries.
Current mainstay treatment of PE includes anticoagulation, thrombolytic therapy, catheter embolectomy and acute surgical embolectomy [6, 10]. Limitations of medical therapy include inability to significantly reduce mortality in patients with massive PE [10].
02 for Saddle embolus of pulmonary artery with acute cor pulmonale is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
R74.8Elevated Troponin should be coded to R74. 8 Abnormal levels of other serum enzymes. [Effective 11 Jul 2012, ICD-10-AM/ACHI/ACS 7th Ed.]
Based on location of the clot into pulmonary artery following terms are used A) saddle PE (large clot into main pulmonary artery), B) lobar PE (into big branch of pulmonary artery), or C) distal PE (into small branches of pulmonary artery).
In humans, acute aortic saddle thrombosis is a rare but often fatal pathology with postoperative mortality extremely high even when blood perfusion is restored to the lower extremities by surgical intervention.
Lines of Zahn are characteristic of thrombus formed at the site of rapid arterial blood flow, with laminations produced by successive deposition of platelets and fibrin (pale layers) alternating with red blood cells (dark layers).
Survival rate tended to be non-significantly higher in the S-PE group than in NS-PE group: 16/17 patients (94.2% ) v 35/44 patients (80%), respectively. This suggests that saddle thromboembolus lodged in the right main and left main pulmonary arteries does not seem to be a risk factor in acute PE.
“Recovery from a PE generally takes about one to two years.” Recovery from a PE takes one to two years.
Massive pulmonary embolism has a high mortality rate despite advances in diagnosis and therapy. A subgroup of patients with nonmassive PE who are hemodynamically stable but with right ventricular (RV) dysfunction or hypokinesis confirmed by echocardiography is classified as submassive PE.
pulmonary embolism and thrombosis ( I26.-) retinal embolism and thrombosis ( H34.-) A condition caused by occlusion of terminal aorta, the primary branches of the abdominal aorta, as in aortoiliac obstruction.
The 2022 edition of ICD-10-CM I74.01 became effective on October 1, 2021.
I26.02 is a valid billable ICD-10 diagnosis code for Saddle embolus of pulmonary artery with acute cor pulmonale . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .
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