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

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

Also known as:

Basal Lung CollapseLower Lobe Atelectasis

Related ICD-10 Code Ranges

Complete code families applicable to Bibasilar Atelectasis

J98.1Primary Range

Other diseases of lung

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

Other respiratory conditions originating in the perinatal period

Relevant for neonatal atelectasis, not primary for bibasilar atelectasis in adults.

Key Information: ICD-10 code for bibasilar atelectasis

Essential facts and insights about Bibasilar Atelectasis

The ICD-10 code for bibasilar atelectasis is J98.11, applicable when the condition is clinically significant.

Primary ICD-10-CM Code for bibasilar atelectasis

Atelectasis
Billable Code

Decision Criteria

clinical Criteria

  • Presence of hypoxemia or significant respiratory symptoms

documentation Criteria

  • Imaging findings must be supported by clinical evaluation

Applicable To

  • Partial lung collapse
  • Subsegmental atelectasis

Excludes

  • Congenital atelectasis (P28.0)
  • Postprocedural atelectasis (J95.89)

Clinical Validation Requirements

  • Documented hypoxemia (SpO₂ <90%)
  • Imaging confirmation (CT or X-ray)
  • Clinical symptoms such as persistent cough or dyspnea

Code-Specific Risks

  • Incorrectly coding incidental findings without clinical significance

Coding Notes

  • Ensure clinical significance is documented to justify coding.

Ancillary Codes

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

Shortness of breath

R06.02
Use when shortness of breath is directly attributed to atelectasis.

Differential Codes

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

Pneumonia, unspecified organism

J18.9
Use J18.9 when infection is the primary driver of care, with symptoms like fever and purulent sputum.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Bibasilar 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: Misrepresentation of patient condition, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials

Mitigation Strategy

Ensure thorough documentation of symptoms, Link imaging findings to clinical evaluation

Impact

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

Mitigation Strategy

Only code when clinically significant and documented.

Impact

Risk of coding without sufficient clinical documentation.

Mitigation Strategy

Ensure all imaging findings are supported by clinical symptoms.

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

Documentation Templates for Bibasilar Atelectasis

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

Inpatient management of bibasilar atelectasis

Specialty: Pulmonology

Required Elements

  • Patient symptoms
  • Imaging findings
  • Treatment interventions

Example Documentation

Patient presents with dyspnea and hypoxemia. CT shows bibasilar atelectasis. Managed with bronchoscopy and oxygen therapy.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Atelectasis noted on CT.
Good Documentation Example
CT shows bibasilar atelectasis with hypoxemia. Managed with bronchoscopy.
Explanation
The good example includes clinical significance and treatment details.

Need help with ICD-10 coding for Bibasilar Atelectasis? Ask your questions below.

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