ICD-10 Coding for Bronchopulmonary Dysplasia(P27.1)
Complete ICD-10-CM coding and documentation guide for Bronchopulmonary Dysplasia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bronchopulmonary Dysplasia
P27-P28Primary Range
Other respiratory conditions originating in the perinatal period
This range includes BPD, a chronic lung disease originating in the perinatal period.
Other diseases of the respiratory system
Includes codes for respiratory failure and oxygen dependence, which may be used as ancillary codes with BPD.
Key Information: ICD-10 code for bronchopulmonary dysplasia
Essential facts and insights about Bronchopulmonary Dysplasia
Primary ICD-10-CM Code for bronchopulmonary dysplasia
Decision Criteria
clinical Criteria
- Oxygen requirement for at least 28 days and at 36 weeks PMA
documentation Criteria
- Explicit mention of BPD and gestational age
Applicable To
- Chronic lung disease of prematurity
Excludes
- Respiratory distress syndrome (P22.0)
Clinical Validation Requirements
- Oxygen requirement for at least 28 days
- Gestational age at birth
- Oxygen requirement at 36 weeks postmenstrual age
Code-Specific Risks
- Confusion with other chronic respiratory conditions
- Incorrectly coding without linking to perinatal origin
Coding Notes
- Ensure documentation explicitly states 'bronchopulmonary dysplasia' and includes gestational age and oxygen therapy details.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Bronchopulmonary Dysplasia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code P27.1.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for incorrect billing and reimbursement.
Mitigation Strategy
Educate clinicians on specific terminology, Use standardized documentation templates
Impact
Reimbursement: Incorrect DRG assignment leading to potential underpayment., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Require explicit 'bronchopulmonary dysplasia' documentation.
Impact
Risk of audits due to insufficient documentation linking BPD to perinatal period.
Mitigation Strategy
Implement thorough documentation practices and regular audits.
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 Bronchopulmonary Dysplasia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bronchopulmonary Dysplasia
Use these documentation templates to ensure complete and accurate documentation for Bronchopulmonary Dysplasia. These templates include all required elements for proper coding and billing.
NICU Progress Note
Specialty: NeonatologyRequired Elements
- Gestational age
- Oxygen therapy details
- Chest X-ray findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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