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Pulmonary Barotrauma S020

Last amended 
30 June 2015
Current RMA Instruments:
Reasonable Hypothesis SOP
15 of 2015
Balance of Probabilities SOP
16 of 2015
Changes from Previous Instruments:

SOP Bulletin 179

ICD Coding:
  • ICD-9-CM Codes: 993.31
  • ICD-10-AM Codes: T70.31

This is an acute barometric pressure induced lung injury in the form of pneumothorax, pneumomediastinum, subcutaneous emphysema or arterial gas embolism.

Is specific diagnostic evidence required to apply the SOP? – Yes.

Based on imaging with CT [computerised axial tomogram] scan or MRI [magnetic resonance imaging] scan of the chest. The relevant medical specialist is a specialist respiratory physician.

Are there sub-factors that require specific information? – No.
Additional diagnoses covered by SOP
  • Burst lung
Conditions not covered by SOP
  • Decompression sickness, ICD 9 code 993.30
  • Dysbaric osteonecrosis, ICD 9 code 993.32
  • Fat embolism
  • Emphysema, ICD 9 code 492.8
Unconfirmed diagnosis

If, after applying the above information, you are unable to confirm the diagnosis, you should then seek medical officer advice about further investigation.