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ICD-10 Coding for Calcified Granuloma in Lungs(J84.10, D86.0)

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

Also known as:

Pulmonary Calcified GranulomaLung Calcification

Related ICD-10 Code Ranges

Complete code families applicable to Calcified Granuloma in Lungs

J84.10Primary Range

Pulmonary fibrosis, unspecified

Used for coding incidental calcified lung granulomas without active disease or specific etiology.

Sarcoidosis of lung

Used when granulomas are associated with sarcoidosis.

Respiratory tuberculosis unspecified

Used when calcified granulomas are secondary to prior pulmonary tuberculosis.

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 for incidental calcified granulomas without active disease.
  • CT showing calcified nodule ≥3mm
  • No signs of active infection or malignancy
  • Negative TB/fungal tests
D86.0Sarcoidosis of lungUse when granulomas are associated with sarcoidosis.
  • Biopsy showing non-caseating granulomas
  • Elevated serum ACE levels
  • Hilar lymphadenopathy

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 granulomas in lungs

Essential facts and insights about Calcified Granuloma in Lungs

Calcified granulomas in the lungs are coded as J84.10, unless linked to conditions like sarcoidosis (D86.0) or tuberculosis (A15.9).

Primary ICD-10-CM Codes for calcified granulomas in lungs

Pulmonary fibrosis, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • CT showing calcified nodule without active disease.

documentation Criteria

  • Detailed imaging report confirming calcification.

Applicable To

  • Calcified granuloma in the lung

Excludes

Clinical Validation Requirements

  • CT showing calcified nodule ≥3mm
  • No signs of active infection or malignancy
  • Negative TB/fungal tests

Code-Specific Risks

  • Misclassification with sarcoidosis or active infections.

Coding Notes

  • Ensure documentation specifies calcification and stability.

Differential Codes

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

Sarcoidosis of lung

D86.0
Biopsy showing non-caseating granulomas and elevated ACE levels.

Respiratory tuberculosis unspecified

A15.9
History of TB with residual calcification.

Pulmonary fibrosis, unspecified

J84.10
No sarcoidosis-related findings.

Documentation & Coding Risks

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

Impact

Clinical: Misdiagnosis risk., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.

Mitigation Strategy

Ensure detailed imaging reports., Specify calcification and stability.

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Use D86.0 for sarcoidosis-related cases.

Impact

Using J84.10 for sarcoidosis-related cases.

Mitigation Strategy

Verify etiology before coding.

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 in Lungs, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Calcified Granuloma in Lungs

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

Radiology Report for Calcified Granuloma

Specialty: Radiology

Required Elements

  • Imaging modality
  • Size and location of nodule
  • Stability over time
  • Impression and differential

Example Documentation

[IMAGING MODALITY] reveals [SIZE]mm calcified nodule in [LOCATION]. Stability: [STABLE/INCREASED] compared to [PRIOR STUDY DATE]. Impression: Benign calcified granuloma.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Lung nodule seen on X-ray.
Good Documentation Example
CT chest: 8mm calcified nodule in right upper lobe, stable for 3 years.
Explanation
The good example provides specific details about size, location, and stability.

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