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ICD-10 Coding for Calcified Granuloma of Lung(J84.10, D86.2)

Complete ICD-10-CM coding and documentation guide for Calcified Granuloma of Lung. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Pulmonary GranulomaLung Granuloma

Related ICD-10 Code Ranges

Complete code families applicable to Calcified Granuloma of Lung

J84-J84.9Primary Range

Other interstitial pulmonary diseases

This range includes codes for interstitial lung diseases, including calcified granuloma.

Sarcoidosis

This range includes codes for sarcoidosis, which can cause granulomas in the lung.

Tuberculosis

This range includes codes for tuberculosis, which can lead to granuloma formation.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
J84.10Pulmonary fibrosis, unspecifiedUse when a calcified granuloma is identified without a specific underlying cause.
  • Imaging showing calcified nodule
  • No active disease or known etiology
D86.2Sarcoidosis of lungUse when granuloma is due to sarcoidosis.
  • Biopsy showing non-caseating granulomas
  • Elevated serum ACE levels

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 calcified granuloma of lung

Essential facts and insights about Calcified Granuloma of Lung

The ICD-10 code for calcified granuloma of the lung is J84.10, used when no specific underlying cause is identified.

Primary ICD-10-CM Codes for calcified granuloma of lung

Pulmonary fibrosis, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Calcified nodule on imaging with no active disease

coding Criteria

  • No specific underlying cause identified

Applicable To

  • Calcified granuloma of lung

Excludes

Clinical Validation Requirements

  • Imaging showing calcified nodule
  • No active disease or known etiology

Code-Specific Risks

  • Misclassification if underlying cause is known but not documented

Coding Notes

  • Ensure imaging reports confirm calcification and absence of active disease.

Ancillary Codes

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

Solitary pulmonary nodule

R91.1
Use when further workup is needed to confirm granuloma.

Differential Codes

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

Sarcoidosis of lung

D86.2
Use when granuloma is due to sarcoidosis, confirmed by biopsy or elevated ACE levels.

Tuberculosis of lung

A15.0
Use when granuloma is due to active tuberculosis, confirmed by positive TB test.

Pulmonary fibrosis, unspecified

J84.10
Use J84.10 when no specific cause like sarcoidosis is identified.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Calcified Granuloma of Lung to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code J84.10.

Impact

Clinical: May lead to unnecessary follow-up tests., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient documentation.

Mitigation Strategy

Ensure radiology reports include calcification status., Train staff on documentation standards.

Impact

Reimbursement: Incorrect DRG assignment may affect reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Code active TB first (A15.0), J84.10 as secondary.

Impact

Using J84.10 without imaging confirmation.

Mitigation Strategy

Ensure all documentation includes imaging reports confirming calcification.

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 Calcified Granuloma of Lung, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Calcified Granuloma of Lung

Use these documentation templates to ensure complete and accurate documentation for Calcified Granuloma of Lung. These templates include all required elements for proper coding and billing.

Incidental calcified granuloma on CT

Specialty: Radiology

Required Elements

  • Imaging findings
  • Calcification status
  • Absence of active disease

Example Documentation

CT chest without contrast: 6mm densely calcified nodule in the left lower lobe. No surrounding ground-glass opacity or adenopathy. Findings consistent with benign calcified granuloma.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Lung nodule present.
Good Documentation Example
4mm calcified granuloma in RUL, stable compared to prior CT 12/2024.
Explanation
The good example specifies size, location, and stability, providing a complete clinical picture.

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