ICD-10 Coding for Chronic Lung Disease of Prematurity(P07.3)
Complete ICD-10-CM coding and documentation guide for Chronic Lung Disease of Prematurity. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chronic Lung Disease of Prematurity
Key Information: ICD-10 code for chronic lung disease of prematurity
Essential facts and insights about Chronic Lung Disease of Prematurity
Primary ICD-10-CM Code for chronic lung disease of prematurity
Decision Criteria
clinical Criteria
- Infant born <37 weeks gestation with oxygen requirement at 36 weeks PMA
documentation Criteria
- Radiographic evidence of lung disease
Applicable To
- Bronchopulmonary dysplasia
- Chronic lung disease of prematurity
Clinical Validation Requirements
- Gestational age <37 weeks
- Oxygen requirement at 36 weeks postmenstrual age
- Radiographic evidence of lung disease
Code-Specific Risks
- Incorrect use before 36 weeks postmenstrual age
- Failure to document oxygen dependency
Coding Notes
- Ensure documentation specifies gestational age and oxygen dependency at 36 weeks PMA.
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.
Other interstitial lung diseases of childhood
J84.848Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Chronic Lung Disease of Prematurity to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code P07.3.
Impact
Clinical: Misrepresentation of the patient's condition., Regulatory: Potential non-compliance with coding standards., Financial: Loss of reimbursement for oxygen dependency.
Mitigation Strategy
Ensure oxygen use is documented at 36 weeks PMA.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure oxygen dependency is documented at 36 weeks PMA before coding.
Impact
Failure to document oxygen use at 36 weeks PMA.
Mitigation Strategy
Implement checklist for neonatal documentation.
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 Chronic Lung Disease of Prematurity, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chronic Lung Disease of Prematurity
Use these documentation templates to ensure complete and accurate documentation for Chronic Lung Disease of Prematurity. These templates include all required elements for proper coding and billing.
Neonatal Progress Note
Specialty: NeonatologyRequired Elements
- Gestational age
- Current postmenstrual age
- Respiratory support details
- Imaging findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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