ICD-10 Coding for Bronchial Wall Thickening(J98.09, J47.9)
Complete ICD-10-CM coding and documentation guide for Bronchial Wall Thickening. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bronchial Wall Thickening
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| J98.09 | Other diseases of bronchus, not elsewhere classified | Use when bronchial wall thickening is noted without specific underlying conditions like bronchiectasis. |
|
| J47.9 | Bronchiectasis, uncomplicated | Use when bronchial wall thickening is part of bronchiectasis. |
|
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 bronchial wall thickening
Essential facts and insights about Bronchial Wall Thickening
Primary ICD-10-CM Codes for bronchial wall thickening
Decision Criteria
clinical Criteria
- CT shows bronchial wall thickening without bronchiectasis.
coding Criteria
- No evidence of bronchiectasis or other specific conditions.
Applicable To
- Bronchial wall thickening without specific etiology
Excludes
- Bronchiectasis (J47.9)
Clinical Validation Requirements
- CT findings of bronchial wall thickening
- Broncho-arterial ratio not exceeding 1:1
Code-Specific Risks
- Misclassification if bronchiectasis is present
Coding Notes
- Ensure CT findings support the use of this code.
J47.9 - Bronchiectasis, uncomplicated
Use when bronchial wall thickening is part of bronchiectasis.
Applicable To
- Bronchial wall thickening with bronchiectasis
Excludes
- Isolated bronchial wall thickening (J98.09)
Clinical Validation Requirements
- Broncho-arterial ratio >1:1
- Lack of tapering over 2 cm
Coding Notes
Document bronchial dilatation and lack of tapering.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pseudomonas infection as the cause of diseases classified elsewhere
B96.5Differential 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 Bronchial Wall Thickening to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code J98.09.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Potential for audit issues., Financial: Incorrect coding can affect reimbursement.
Mitigation Strategy
Ensure detailed CT reports, Verify broncho-arterial ratios
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use J47.9 when bronchiectasis is present.
Impact
Using J98.09 instead of J47.9 when bronchiectasis is present.
Mitigation Strategy
Verify CT findings for bronchiectasis.
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 Bronchial Wall Thickening, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bronchial Wall Thickening
Use these documentation templates to ensure complete and accurate documentation for Bronchial Wall Thickening. These templates include all required elements for proper coding and billing.
Bronchial Wall Thickening with Suspected Bronchiectasis
Specialty: PulmonologyRequired Elements
- CT findings
- Broncho-arterial ratio
- Presence of mucus plugging
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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