Description
Pleurodynia, also known as pleurisy, is a medical condition characterized by inflammation of the pleura, the thin layer of tissue that surrounds the lungs. This inflammation leads to sharp, stabbing pain that is often worsened with coughing or deep breathing. The pain is usually located in the chest area and may feel like a cutting or piercing sensation. Pleurodynia can be caused by a variety of factors, including viral or bacterial infections, connective tissue disorders, or chest wall injuries.
Coding Guidelines
According to the ICD-10-CM coding guidelines, R07.81 should not be used as a principal diagnosis code when a related definitive diagnosis has been established. Instead, it should be used as a secondary diagnosis to indicate that the condition is present, but not the primary focus of the encounter.
Clinical Presentation
Patients with pleurodynia may present with symptoms such as:
- Chest pain, which may be acute or chronic, and can be localized to the costoventricular angle, intercostal spaces, or scapular region
- Chest wall tenderness, which may be bilateral or unilateral
- Shortness of breath or difficulty breathing, which may be related to the pleural inflammation
- Fatigue or malaise
Workup
Diagnosis of pleurodynia typically begins with a thorough history and physical examination. Imaging studies, such as chest radiography or computed tomography (CT) scans, may be performed to assess the pleural space for signs of effusion or injury. Blood tests may also be conducted to check for evidence of infection or inflammation.
Treatment
Treatment for pleurodynia typically involves managing the underlying cause of the condition. This may include antipyretics, analgesics, or other medications to relieve pain and symptoms. In some cases, further diagnostic testing may be necessary to identify the specific cause of the pleurodynia.
Practice Tips
As a healthcare provider, it is important to be aware of the latest coding guidelines and to use the appropriate codes for each diagnostic encounter. When submitting claims to payers, it is recommended to include both the principal and secondary diagnoses on the same claim form to ensure accurate billing and payment. Additionally, it is important to document the patient's symptoms, medical history, and any changes in the treatment plan in the medical record to support the diagnoses and procedures billed.
##, ICD-10-CM code R07.81 – Pleurodynia refers to inflammation of the pleura and can be caused by a variety of factors. It is important for healthcare providers to use the appropriate code for each diagnostic encounter and to document the patient's symptoms, medical history, and changes in the treatment plan in the medical record to support the diagnoses and procedures billed. By adhering to these coding guidelines and best practices, healthcare providers can ensure accurate billing and payment for services rendered.
