ICD-10 Coding for Lung Fibrosis(J84.112, J84.10)
Complete ICD-10-CM coding and documentation guide for Lung Fibrosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Lung Fibrosis
J84.10-J84.17Primary Range
Other interstitial pulmonary diseases
This range includes codes for various types of pulmonary fibrosis, including idiopathic and unspecified forms.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| J84.112 | Idiopathic pulmonary fibrosis | Use when idiopathic pulmonary fibrosis is confirmed by MDT with HRCT showing UIP pattern. |
|
| J84.10 | Unspecified interstitial pulmonary disease | Use when fibrosis is present but specific type or cause cannot be determined. |
|
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 Lung Fibrosis
Primary ICD-10-CM Codes for lung fibrosis
Decision Criteria
clinical Criteria
- HRCT shows UIP pattern with MDT confirmation.
documentation Criteria
- Exclusion of secondary causes documented.
Applicable To
- Usual interstitial pneumonia (UIP)
Excludes
- Pulmonary fibrosis due to known causes (e.g., connective tissue disease)
Clinical Validation Requirements
- HRCT showing UIP pattern
- Multidisciplinary team (MDT) diagnosis
- Exclusion of secondary causes
Code-Specific Risks
- Misuse without MDT confirmation
- Incorrect use based solely on radiology report
Coding Notes
- Ensure documentation includes MDT confirmation and HRCT findings.
J84.10 - Unspecified interstitial pulmonary disease
Use when fibrosis is present but specific type or cause cannot be determined.
Applicable To
- Pulmonary fibrosis NOS
Excludes
- Idiopathic pulmonary fibrosis (J84.112)
Clinical Validation Requirements
- Imaging shows fibrosis without specific pattern
- Workup incomplete or inconclusive
Coding Notes
Avoid use when specific diagnosis is possible.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Hypoxemia
R09.02Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Lung Fibrosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code J84.112.
Impact
Clinical: Leads to inaccurate diagnosis., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Ensure MDT notes are included in documentation., Verify HRCT findings are recorded.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure MDT confirmation and HRCT findings are documented.
Impact
Reimbursement: May result in lower reimbursement rates., Compliance: Potential audit risk., Data Quality: Reduces specificity of clinical data.
Mitigation Strategy
Query for more specific diagnosis when possible.
Impact
High risk of audit when unspecified codes are overused.
Mitigation Strategy
Encourage specific diagnosis documentation.
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 Fibrosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Lung Fibrosis
Use these documentation templates to ensure complete and accurate documentation for Lung Fibrosis. These templates include all required elements for proper coding and billing.
Idiopathic Pulmonary Fibrosis Diagnosis
Specialty: PulmonologyRequired Elements
- HRCT findings
- MDT confirmation
- Exclusion of secondary causes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Lung Fibrosis? Ask your questions below.