ICD-10 Coding for Eosinophilic Conditions(J82.83, K20.0, N28.89)
Complete ICD-10-CM coding and documentation guide for Eosinophilic Conditions. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Eosinophilic Conditions
J82-J84Primary Range
Other respiratory diseases principally affecting the interstitium
Includes eosinophilic asthma and eosinophilic pneumonia.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| J82.83 | Eosinophilic asthma | Use when asthma is characterized by eosinophilic inflammation. |
|
| K20.0 | Eosinophilic esophagitis | Use when EoE is confirmed by biopsy and PPI trial. |
|
| N28.89 | Other specified disorders of kidney and ureter | Use for kidney disorders with documented eosinophilia. |
|
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 eosinophilic asthma
Essential facts and insights about Eosinophilic Conditions
Primary ICD-10-CM Codes for eosinophils
Decision Criteria
clinical Criteria
- Eosinophil count >150 cells/μL
Applicable To
- Asthma with eosinophilic inflammation
Clinical Validation Requirements
- Peripheral eosinophil count >150 cells/μL
- Bronchoalveolar lavage eosinophils >3%
Code-Specific Risks
- Misclassification with non-eosinophilic asthma
Coding Notes
- Ensure eosinophil counts are documented to support this code.
K20.0 - Eosinophilic esophagitis
Use when EoE is confirmed by biopsy and PPI trial.
Applicable To
- EoE confirmed by biopsy
Excludes
- GERD (K21.9)
Clinical Validation Requirements
- Biopsy ≥15 eos/hpf after 8-week PPI trial
Coding Notes
Document biopsy results and PPI trial outcomes.
N28.89 - Other specified disorders of kidney and ureter
Use for kidney disorders with documented eosinophilia.
Applicable To
- Acute interstitial nephritis with eosinophilia
Clinical Validation Requirements
- >5% eosinophils in urine sediment via Hansel stain
Coding Notes
Ensure urine eosinophil counts are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Eosinophilic Conditions to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code J82.83.
Impact
Clinical: May lead to misdiagnosis of EoE., Regulatory: Non-compliance with clinical guidelines., Financial: Potential denial of claims due to incomplete documentation.
Mitigation Strategy
Ensure PPI trial is documented before diagnosing EoE.
Impact
Reimbursement: May lead to incorrect DRG assignment, affecting reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use J82.83 for eosinophilic asthma with documented eosinophilia.
Impact
Lack of eosinophil count documentation can lead to audit issues.
Mitigation Strategy
Ensure all eosinophil counts are documented and accessible.
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 Eosinophilic Conditions, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Eosinophilic Conditions
Use these documentation templates to ensure complete and accurate documentation for Eosinophilic Conditions. These templates include all required elements for proper coding and billing.
Eosinophilic asthma diagnosis
Specialty: PulmonologyRequired Elements
- Peripheral eosinophil count
- Spirometry results
- Exclusion of parasitic infection
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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