ICD-10 Coding for Cystic Fibrosis(E84.0, E84.19)
Complete ICD-10-CM coding and documentation guide for Cystic Fibrosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cystic Fibrosis
E84Primary Range
Cystic fibrosis
This range includes all codes related to cystic fibrosis and its manifestations.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E84.0 | Cystic fibrosis with pulmonary manifestations | Use when cystic fibrosis presents with pulmonary symptoms such as chronic cough and bronchiectasis. |
|
| E84.19 | Cystic fibrosis with other intestinal manifestations | Use when cystic fibrosis presents with intestinal symptoms such as steatorrhea or meconium ileus. |
|
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 cystic fibrosis
Essential facts and insights about Cystic Fibrosis
Primary ICD-10-CM Codes for cystic fibrosis
Decision Criteria
clinical Criteria
- Presence of chronic cough and sputum production with confirmed CF diagnosis.
Applicable To
- Chronic lung disease due to cystic fibrosis
Excludes
- Cystic fibrosis with intestinal manifestations (E84.19)
Clinical Validation Requirements
- Chronic cough
- Sputum production
- Bronchiectasis on CT
- FEV1 <70% predicted
Code-Specific Risks
- Ensure documentation specifies pulmonary involvement to avoid incorrect coding.
Coding Notes
- Ensure to document specific pulmonary manifestations and any identified organisms.
E84.19 - Cystic fibrosis with other intestinal manifestations
Use when cystic fibrosis presents with intestinal symptoms such as steatorrhea or meconium ileus.
Applicable To
- Meconium ileus
- Pancreatic insufficiency
Excludes
- Cystic fibrosis with pulmonary manifestations (E84.0)
Clinical Validation Requirements
- Steatorrhea
- Fecal elastase <200 µg/g
- Recurrent pancreatitis
Coding Notes
Document specific intestinal manifestations and any complications.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pseudomonas (aeruginosa) as the cause of diseases classified elsewhere
B96.5Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cystic Fibrosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E84.0.
Impact
Clinical: Inaccurate representation of patient's condition., Regulatory: Potential non-compliance with ICD-10 coding guidelines., Financial: May result in reduced reimbursement.
Mitigation Strategy
Educate providers on the importance of detailed documentation., Implement regular chart audits to ensure compliance.
Impact
Reimbursement: May lead to lower reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Query provider to specify pulmonary or intestinal involvement.
Impact
Use of unspecified codes like E84.9 can trigger audits.
Mitigation Strategy
Ensure documentation specifies all manifestations and complications.
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 Cystic Fibrosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cystic Fibrosis
Use these documentation templates to ensure complete and accurate documentation for Cystic Fibrosis. These templates include all required elements for proper coding and billing.
Pulmonary exacerbation in cystic fibrosis
Specialty: PulmonologyRequired Elements
- Increased cough
- Sputum production
- FEV1 decline
- Sputum culture results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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