ICD-10 Coding for Atelectasis(J98.11, P28.0, J95.89)
Complete ICD-10-CM coding and documentation guide for Atelectasis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Atelectasis
J98.11Primary Range
Atelectasis in adults
This code is used for general cases of atelectasis in adults.
Atelectasis in newborns
These codes are specific to atelectasis in newborns, covering primary and other types.
Post-procedural atelectasis
This code is used for atelectasis occurring as a complication after a procedure.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| J98.11 | Atelectasis | Use for general cases of atelectasis in adults not related to surgery or congenital conditions. |
|
| P28.0 | Primary atelectasis of newborn | Use for newborns with primary lung collapse at birth. |
|
| J95.89 | Other postprocedural complications and disorders of respiratory system | Use when atelectasis is a documented complication following a surgical procedure. |
|
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 atelectasis
Essential facts and insights about Atelectasis
Primary ICD-10-CM Codes for atelectasis
Decision Criteria
clinical Criteria
- Confirmed by imaging and clinical symptoms.
Applicable To
- Collapse of lung
- Pulmonary atelectasis
Clinical Validation Requirements
- Chest X-ray showing linear opacities
- CT scan confirming lung collapse
- ABG with PaO2 <60 mmHg
Code-Specific Risks
- Misclassification as a complication when integral to a procedure
Coding Notes
- Ensure documentation specifies the type and cause of atelectasis.
P28.0 - Primary atelectasis of newborn
Use for newborns with primary lung collapse at birth.
Applicable To
- Failure of lung expansion at birth
Excludes
- Respiratory distress syndrome of newborn (P22.0)
Clinical Validation Requirements
- Clinical observation of lung collapse at birth
- Requirement of CPAP or other respiratory support
Coding Notes
Ensure age specificity in documentation.
J95.89 - Other postprocedural complications and disorders of respiratory system
Use when atelectasis is a documented complication following a surgical procedure.
Applicable To
- Post-procedural atelectasis
Excludes
- Atelectasis not related to a procedure (J98.11)
Clinical Validation Requirements
- Post-surgical imaging showing atelectasis
- Documentation of procedure leading to atelectasis
Coding Notes
Sequence after the procedure code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Tachypnea
R06.82Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Atelectasis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code J98.11.
Impact
Clinical: Impacts treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denial.
Mitigation Strategy
Use specific terminology., Include imaging and intervention details.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Only code as a complication if documented as such by the provider.
Impact
Risk of incorrect coding as a complication without proper documentation.
Mitigation Strategy
Ensure provider documentation explicitly states atelectasis as a complication.
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 Atelectasis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Atelectasis
Use these documentation templates to ensure complete and accurate documentation for Atelectasis. These templates include all required elements for proper coding and billing.
Post-surgical atelectasis
Specialty: PulmonologyRequired Elements
- Symptoms
- Imaging results
- Interventions
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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