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ICD-10 Coding for Basilar Atelectasis(J98.11)

Complete ICD-10-CM coding and documentation guide for Basilar Atelectasis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Bibasilar AtelectasisLower Lobe Atelectasis

Related ICD-10 Code Ranges

Complete code families applicable to Basilar Atelectasis

J98.1Primary Range

Pulmonary collapse

This range includes codes for atelectasis, which is the primary condition being documented.

Postprocedural atelectasis

This range is relevant for atelectasis occurring as a complication of a medical procedure.

Key Information: ICD-10 code for basilar atelectasis

Essential facts and insights about Basilar Atelectasis

The ICD-10 code for basilar atelectasis is J98.11, used when imaging confirms the basilar location and clinical symptoms are present.

Primary ICD-10-CM Code for basilar atelectasis

Atelectasis, basal
Billable Code

Decision Criteria

clinical Criteria

  • Imaging confirms basilar location

documentation Criteria

  • Clinical symptoms and imaging findings documented

Applicable To

  • Basilar atelectasis
  • Bibasilar atelectasis

Excludes

Clinical Validation Requirements

  • Imaging showing triangular opacity in the lower lobes
  • Clinical symptoms such as shortness of breath and hypoxemia

Code-Specific Risks

  • Misidentifying the location of atelectasis
  • Failing to document clinical significance

Coding Notes

  • Ensure documentation specifies 'basilar' to use J98.11.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Hypoxemia

R09.02
Use when hypoxemia is documented with basilar atelectasis.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Other atelectasis

J98.19
Use for atelectasis not specified as basilar or when location is not confirmed.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Basilar 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: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.

Mitigation Strategy

Ensure thorough documentation of symptoms and treatment., Use templates to guide documentation.

Impact

Reimbursement: May lead to denied claims if not clinically justified., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient condition.

Mitigation Strategy

Ensure documentation supports clinical significance and treatment.

Impact

Risk of audits due to insufficient documentation of clinical significance.

Mitigation Strategy

Use detailed templates and ensure all clinical indicators are documented.

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 Basilar Atelectasis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Basilar Atelectasis

Use these documentation templates to ensure complete and accurate documentation for Basilar Atelectasis. These templates include all required elements for proper coding and billing.

Basilar atelectasis in a postoperative patient

Specialty: Pulmonology

Required Elements

  • Imaging findings
  • Clinical symptoms
  • Treatment plan

Example Documentation

Patient presents with postoperative basilar atelectasis confirmed by CT. Symptoms include shortness of breath and hypoxemia (SpO2 88% on room air). Plan includes incentive spirometry and monitoring.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Atelectasis noted on CXR.
Good Documentation Example
Basilar atelectasis confirmed by CT with associated hypoxemia, requiring 4L NC oxygen.
Explanation
The good example specifies location, imaging confirmation, and treatment needs.

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