ICD-10 Coding for Aspergillus Pneumonia(B44.0, B44.1, J17.2)
Complete ICD-10-CM coding and documentation guide for Aspergillus Pneumonia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Aspergillus Pneumonia
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| B44.0 | Invasive pulmonary aspergillosis | Use for invasive aspergillosis in immunocompromised patients with specific clinical evidence. |
|
| B44.1 | Other pulmonary aspergillosis | Use for chronic cavitary aspergillosis with specific clinical findings. |
|
| J17.2 | Fungal pneumonia, not elsewhere classified | Use when fungal pneumonia is diagnosed but Aspergillus is not confirmed. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for aspergillus pneumonia
Essential facts and insights about Aspergillus Pneumonia
Primary ICD-10-CM Codes for aspergillus pneumonia
Decision Criteria
clinical Criteria
- Presence of invasive aspergillosis indicators in immunocompromised host.
Applicable To
- Invasive aspergillosis in immunocompromised patients
Excludes
- Allergic bronchopulmonary aspergillosis (ABPA)
Clinical Validation Requirements
- BAL GM ≥1.0 ODI
- CT showing halo sign
- Host factors like neutropenia or transplant
Code-Specific Risks
- Incorrect use without clinical correlation
- Failure to document host factors
Coding Notes
- Ensure documentation includes specific invasive criteria and host factors.
B44.1 - Other pulmonary aspergillosis
Use for chronic cavitary aspergillosis with specific clinical findings.
Applicable To
- Chronic cavitary pulmonary aspergillosis
Excludes
- Allergic bronchopulmonary aspergillosis (ABPA)
Clinical Validation Requirements
- IgG >40 AU/mL
- Cavitation on CT
- Exclusion of ABPA
Coding Notes
Document chronic symptoms and cavitary findings clearly.
J17.2 - Fungal pneumonia, not elsewhere classified
Use when fungal pneumonia is diagnosed but Aspergillus is not confirmed.
Excludes
- Aspergillus pneumonia
Clinical Validation Requirements
- Fungal pneumonia diagnosis without specific organism identification
Coding Notes
Ensure documentation supports fungal pneumonia without specific organism.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Complications of lung transplant
T86.818Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Aspergillus Pneumonia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B44.0.
Impact
Clinical: Mismanagement of patient care due to incomplete diagnosis., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Include host factor documentation in patient records, Regular training on documentation standards
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure clinical evidence supports the diagnosis, not just culture results.
Impact
Failure to sequence transplant complications before aspergillosis can lead to audit issues.
Mitigation Strategy
Educate coders on proper sequencing rules.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Aspergillus Pneumonia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Aspergillus Pneumonia
Use these documentation templates to ensure complete and accurate documentation for Aspergillus Pneumonia. These templates include all required elements for proper coding and billing.
Invasive aspergillosis in immunocompromised patient
Specialty: Infectious DiseaseRequired Elements
- Invasive criteria
- Host factors
- Treatment plan
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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