ICD-10 Coding for Fibrosis(J84.10, J84.112, K74.02, E84.0)
Complete ICD-10-CM coding and documentation guide for Fibrosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fibrosis
J84.10-J84.112Primary Range
Pulmonary Fibrosis
Covers unspecified and idiopathic pulmonary fibrosis, critical for respiratory conditions.
Hepatic Fibrosis
Includes unspecified, early, and advanced hepatic fibrosis, important for liver conditions.
Cystic Fibrosis
Encompasses cystic fibrosis with pulmonary and intestinal 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 |
|---|---|---|---|
| J84.10 | Pulmonary fibrosis, unspecified | Use when the type of pulmonary fibrosis is not specified. |
|
| J84.112 | Idiopathic pulmonary fibrosis | Use when idiopathic nature is confirmed by HRCT and biopsy. |
|
| K74.02 | Hepatic fibrosis, advanced | Use for advanced fibrosis confirmed by biopsy or elastography. |
|
| E84.0 | Cystic fibrosis with pulmonary manifestations | Use for cystic fibrosis with documented pulmonary involvement. |
|
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 idiopathic pulmonary fibrosis
Essential facts and insights about Fibrosis
Primary ICD-10-CM Codes for fibrosis
Decision Criteria
clinical Criteria
- No specific type identified
Applicable To
- Unspecified pulmonary fibrosis
Excludes
- Idiopathic pulmonary fibrosis (J84.112)
Clinical Validation Requirements
- Chronic cough
- Imaging results showing fibrosis
Code-Specific Risks
- Misclassification if specific type is known
Coding Notes
- Ensure documentation specifies 'unspecified' if no further details are available.
J84.112 - Idiopathic pulmonary fibrosis
Use when idiopathic nature is confirmed by HRCT and biopsy.
Applicable To
- Usual interstitial pneumonia
Excludes
- Pulmonary fibrosis due to known causes
Clinical Validation Requirements
- HRCT showing honeycombing
- Biopsy confirmation
Coding Notes
Documentation must confirm idiopathic nature.
K74.02 - Hepatic fibrosis, advanced
Use for advanced fibrosis confirmed by biopsy or elastography.
Applicable To
- Advanced liver fibrosis
Excludes
- Cirrhosis of liver (K74.6)
Clinical Validation Requirements
- Biopsy showing Ishak 5-6
- Elastography >15 kPa
Coding Notes
Ensure advanced stage is documented.
E84.0 - Cystic fibrosis with pulmonary manifestations
Use for cystic fibrosis with documented pulmonary involvement.
Applicable To
- Cystic fibrosis with lung involvement
Excludes
- Cystic fibrosis with intestinal manifestations (E84.19)
Clinical Validation Requirements
- Positive sweat chloride test
- Genetic confirmation of CFTR mutations
Coding Notes
Always sequence E84.- codes before manifestations.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pseudomonas infection
B96.5Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Idiopathic pulmonary fibrosis
J84.112Pulmonary fibrosis, unspecified
J84.10Hepatic fibrosis, unspecified
K74.00Cystic fibrosis with intestinal manifestations
E84.19Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Fibrosis 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 inappropriate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement.
Mitigation Strategy
Review imaging and biopsy results, Consult with specialists for confirmation
Impact
Reimbursement: Incorrect coding can affect DRG assignment., Compliance: May lead to audit issues., Data Quality: Impacts accuracy of patient records.
Mitigation Strategy
Ensure documentation specifies idiopathic nature for J84.112.
Impact
Reimbursement: Improper sequencing affects reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Leads to inaccurate coding data.
Mitigation Strategy
Always code cystic fibrosis first, followed by manifestations.
Impact
High audit risk if documentation does not confirm idiopathic nature.
Mitigation Strategy
Ensure all diagnostic criteria are met and documented.
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 Fibrosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fibrosis
Use these documentation templates to ensure complete and accurate documentation for Fibrosis. These templates include all required elements for proper coding and billing.
Pulmonary Fibrosis Diagnosis
Specialty: PulmonologyRequired Elements
- HRCT findings
- Biopsy results
- Exclusion of known causes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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