ICD-10 Coding for Pulmonary Fibrosis(J84.10, J84.11)
Complete ICD-10-CM coding and documentation guide for Pulmonary Fibrosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pulmonary Fibrosis
J84.10-J84.17Primary Range
Other interstitial pulmonary diseases with fibrosis
This range includes codes for various forms of pulmonary fibrosis, including idiopathic and unspecified types.
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 pulmonary fibrosis | Use when pulmonary fibrosis is confirmed but the cause is not specified. |
|
| J84.11 | Idiopathic pulmonary fibrosis | Use when idiopathic pulmonary fibrosis is confirmed by HRCT and multidisciplinary consensus. |
|
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 Pulmonary Fibrosis
Primary ICD-10-CM Codes for pulm fibrosis
Decision Criteria
clinical Criteria
- No identifiable cause for fibrosis
Applicable To
- Pulmonary fibrosis NOS
Excludes
- Pulmonary fibrosis due to known cause (e.g., asbestos exposure)
Clinical Validation Requirements
- Imaging showing lung scarring without identifiable cause
- Exclusion of secondary causes
Code-Specific Risks
- Incorrect use when a specific cause is known
Coding Notes
- Ensure no known cause is documented before using this code.
J84.11 - Idiopathic pulmonary fibrosis
Use when idiopathic pulmonary fibrosis is confirmed by HRCT and multidisciplinary consensus.
Applicable To
- Cryptogenic fibrosing alveolitis
Excludes
- Pulmonary fibrosis with known cause
Clinical Validation Requirements
- HRCT showing UIP pattern
- Multidisciplinary diagnosis
Coding Notes
Requires exclusion of secondary causes and confirmation by HRCT.
Differential 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 Pulmonary 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: Potential misdiagnosis of pulmonary fibrosis type., Regulatory: Non-compliance with coding standards., Financial: Risk of claim denial due to insufficient documentation.
Mitigation Strategy
Ensure HRCT results are documented in the patient's chart., Verify MDT consensus is recorded.
Impact
Reimbursement: May lead to incorrect billing and potential claim denial., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use the specific code for the underlying cause if known.
Impact
Risk of audit if HRCT and MDT documentation is missing.
Mitigation Strategy
Ensure all diagnostic criteria are 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 Pulmonary Fibrosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pulmonary Fibrosis
Use these documentation templates to ensure complete and accurate documentation for Pulmonary Fibrosis. These templates include all required elements for proper coding and billing.
Idiopathic Pulmonary Fibrosis Diagnosis
Specialty: PulmonologyRequired Elements
- HRCT results
- Multidisciplinary team notes
- Exclusion of secondary causes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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