ICD-10 Coding for Lung Granuloma(J84.10, D86.0)
Complete ICD-10-CM coding and documentation guide for Lung Granuloma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Lung Granuloma
J84.10Primary Range
Unspecified interstitial pulmonary disease
This range includes lung granulomas when no specific etiology like sarcoidosis or tuberculosis is identified.
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 | Unspecified interstitial pulmonary disease | Use when granuloma is identified without a specific cause like sarcoidosis or TB. |
|
| D86.0 | Sarcoidosis of lung | Use when sarcoidosis is confirmed as the cause of granulomas. |
|
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 granuloma
Essential facts and insights about Lung Granuloma
Primary ICD-10-CM Codes for lung granuloma
Decision Criteria
clinical Criteria
- Granuloma identified without specific etiology
coding Criteria
- No active infection or specific condition identified
documentation Criteria
- CT and biopsy results available
Clinical Validation Requirements
- CT scan showing granuloma
- Biopsy results excluding specific causes
Code-Specific Risks
- Misclassification if specific etiology is later identified
Coding Notes
- Ensure documentation specifies the absence of specific causes if using J84.10.
D86.0 - Sarcoidosis of lung
Use when sarcoidosis is confirmed as the cause of granulomas.
Applicable To
- Non-caseating granulomas
Excludes
- Tuberculosis (A15-A19)
Clinical Validation Requirements
- Biopsy showing non-caseating granulomas
- Elevated serum ACE levels
Coding Notes
Ensure biopsy and clinical findings support sarcoidosis diagnosis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other disorders of lung
J98.4Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Sarcoidosis of lung
D86.0Tuberculosis of respiratory system
A15-A19Unspecified interstitial pulmonary disease
J84.10Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Lung Granuloma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code J84.10.
Impact
Clinical: Misdiagnosis risk, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Ensure biopsy results are included in patient records, Cross-check documentation before coding
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use specific codes like D86.0 for sarcoidosis or A15-A19 for TB.
Impact
Risk of audits if J84.10 is used without excluding specific causes.
Mitigation Strategy
Document all diagnostic tests and results clearly.
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 Granuloma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Lung Granuloma
Use these documentation templates to ensure complete and accurate documentation for Lung Granuloma. These templates include all required elements for proper coding and billing.
Granuloma identified on routine imaging
Specialty: PulmonologyRequired Elements
- Imaging findings
- Biopsy results
- Clinical symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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