ICD-10 Coding for Lung Collapse(J98.11, J98.18, J95.811)
Complete ICD-10-CM coding and documentation guide for Lung Collapse. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Lung Collapse
J98.1-J98.19Primary Range
Other respiratory disorders
This range includes codes for various types of lung collapse, including atelectasis and whole lung collapse.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| J98.11 | Atelectasis | Use for partial lobar or segmental collapse. |
|
| J98.18 | Whole lung collapse | Use for complete unilateral or bilateral lung collapse. |
|
| J95.811 | Postprocedural pneumothorax | Use when lung collapse is due to a procedure. |
|
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 lung collapse
Essential facts and insights about Lung Collapse
Primary ICD-10-CM Codes for lung collapse
Decision Criteria
clinical Criteria
- Partial collapse confirmed by imaging.
Applicable To
- Partial lung collapse
Excludes
- Whole lung collapse (J98.18)
Clinical Validation Requirements
- Chest X-ray/CT showing lobar volume loss
- ABG: PaO2 <80 mmHg if hypoxemic
Code-Specific Risks
- Incorrectly coding as whole lung collapse.
Coding Notes
- Ensure documentation specifies the extent and cause of collapse.
J98.18 - Whole lung collapse
Use for complete unilateral or bilateral lung collapse.
Applicable To
- Complete lung collapse
Excludes
- Partial lung collapse (J98.11)
Clinical Validation Requirements
- Tracheal deviation on imaging
- Tension pneumothorax findings
Coding Notes
Ensure documentation specifies the extent and cause of collapse.
J95.811 - Postprocedural pneumothorax
Use when lung collapse is due to a procedure.
Applicable To
- Iatrogenic lung collapse
Clinical Validation Requirements
- Procedure-related pneumothorax confirmed by imaging.
Coding Notes
Ensure documentation links the collapse to the procedure.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Hypoxemia
R09.02Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Lung Collapse to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code J98.11.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement.
Mitigation Strategy
Always document the underlying cause of collapse.
Impact
Reimbursement: Specific codes ensure accurate DRG assignment., Compliance: Improves compliance with coding guidelines., Data Quality: Enhances data specificity and quality.
Mitigation Strategy
Use specific codes for partial or whole lung collapse.
Impact
Risk of audits due to non-specific coding of lung collapse.
Mitigation Strategy
Ensure documentation supports the specific code used.
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 Lung Collapse, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Lung Collapse
Use these documentation templates to ensure complete and accurate documentation for Lung Collapse. These templates include all required elements for proper coding and billing.
Acute lung collapse due to mucus plugging
Specialty: PulmonologyRequired Elements
- Extent of collapse
- Cause of collapse
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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