518.4
ICD-9-CMThis code signifies a sudden onset of fluid accumulation in the lungs, leading to impaired gas exchange. It represents a severe, acute respiratory distress characterized by dyspnea, hypoxemia, and often a cough with frothy sputum. The "unspecified" nature indicates that the underlying cause of the edema is not documented or known at the time of coding.
This code is appropriate for patients presenting with acute pulmonary edema where the etiology (e.g., cardiac, non-cardiac, toxic) has not yet been determined or is not clearly documented. It is often used in emergency department settings or initial inpatient admissions when a definitive diagnosis for the cause of the edema is pending. Documentation should clearly state "acute pulmonary edema" without further specification of its origin.
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