ICD-10 Coding for Interstitial Pneumonia(J84.114, J84.112)
Complete ICD-10-CM coding and documentation guide for Interstitial Pneumonia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Interstitial Pneumonia
J84.1Primary Range
Other interstitial pulmonary diseases with fibrosis
This range includes specific types of interstitial pneumonia such as idiopathic pulmonary fibrosis and acute interstitial pneumonitis.
Unspecified interstitial pulmonary disease
Used when specific etiology of interstitial pneumonia cannot be determined.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| J84.114 | Acute interstitial pneumonitis | Use for acute presentations with rapid onset and confirmed diffuse alveolar damage. |
|
| J84.112 | Idiopathic pulmonary fibrosis | Use when HRCT shows UIP pattern and other causes are excluded. |
|
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 acute interstitial pneumonitis
Essential facts and insights about Interstitial Pneumonia
Primary ICD-10-CM Codes for interstitial pneumonia
Decision Criteria
clinical Criteria
- Presence of diffuse alveolar damage and acute symptoms
Applicable To
- Rapid-onset dyspnea
- Diffuse alveolar damage
Excludes
- Chronic interstitial pneumonia
Clinical Validation Requirements
- PaO₂ < 60 mmHg on ABG
- Diffuse alveolar damage on biopsy
Code-Specific Risks
- Misclassification as chronic interstitial pneumonia
Coding Notes
- Ensure documentation specifies acute nature and supporting imaging/biopsy findings.
J84.112 - Idiopathic pulmonary fibrosis
Use when HRCT shows UIP pattern and other causes are excluded.
Applicable To
- Usual interstitial pneumonia pattern
Excludes
- Non-specific interstitial pneumonia
Clinical Validation Requirements
- UIP pattern on HRCT
- Exclusion of connective tissue disease
Coding Notes
Document HRCT findings and exclusion of other causes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Acute respiratory failure
J96.00Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Interstitial Pneumonia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code J84.114.
Impact
Clinical: Inaccurate diagnosis and treatment., Regulatory: Non-compliance with coding guidelines., Financial: Potential for denied claims.
Mitigation Strategy
Ensure HRCT results are included in documentation., Train staff on documentation requirements.
Impact
Reimbursement: Lower reimbursement due to unspecified coding., Compliance: Non-compliance with specificity requirements., Data Quality: Decreased accuracy in clinical data.
Mitigation Strategy
Use specific codes like J84.114 or J84.112 when criteria are met.
Impact
Risk of audits due to use of unspecified codes.
Mitigation Strategy
Use specific codes when criteria are met.
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 Interstitial Pneumonia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Interstitial Pneumonia
Use these documentation templates to ensure complete and accurate documentation for Interstitial Pneumonia. These templates include all required elements for proper coding and billing.
Acute interstitial pneumonitis in pulmonology
Specialty: PulmonologyRequired Elements
- Patient history
- HRCT findings
- Biopsy results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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