ICD-10 Coding for Usual Interstitial Pneumonitis(J84.178)
Complete ICD-10-CM coding and documentation guide for Usual Interstitial Pneumonitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Usual Interstitial Pneumonitis
Key Information: ICD-10 code for usual interstitial pneumonitis
Essential facts and insights about Usual Interstitial Pneumonitis
Primary ICD-10-CM Code for usual interstitial pneumonitis
Decision Criteria
clinical Criteria
- HRCT findings consistent with UIP pattern
documentation Criteria
- Multidisciplinary consensus documented
Applicable To
- Idiopathic pulmonary fibrosis with UIP pattern
Excludes
- Hypersensitivity pneumonitis
- Non-specific interstitial pneumonia
Clinical Validation Requirements
- HRCT showing subpleural, basal-predominant reticulation with honeycombing
- Multidisciplinary diagnosis excluding known causes
- Histopathology confirming temporal heterogeneity with fibroblastic foci
Code-Specific Risks
- Incorrectly coding unspecified interstitial lung disease
- Missing documentation of HRCT findings
Coding Notes
- Ensure HRCT and multidisciplinary consensus are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Connective tissue disease, unspecified
M35.9Differential 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 Usual Interstitial Pneumonitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code J84.178.
Impact
Clinical: Potential misdiagnosis, Regulatory: Non-compliance with coding standards, Financial: Reduced reimbursement
Mitigation Strategy
Ensure specific terminology is used, Educate clinicians on documentation standards
Impact
Reimbursement: Lower reimbursement due to unspecified coding, Compliance: Non-compliance with coding guidelines, Data Quality: Decreased accuracy in clinical data
Mitigation Strategy
Require 'UIP pattern' or 'multidisciplinary confirmation' in notes
Impact
Lack of specific HRCT documentation can lead to audit issues.
Mitigation Strategy
Ensure all HRCT findings are clearly documented in the patient record.
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 Usual Interstitial Pneumonitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Usual Interstitial Pneumonitis
Use these documentation templates to ensure complete and accurate documentation for Usual Interstitial Pneumonitis. These templates include all required elements for proper coding and billing.
Confirmed UIP with HRCT and Multidisciplinary Consensus
Specialty: PulmonologyRequired Elements
- HRCT findings
- Multidisciplinary consensus
- Exclusion of other causes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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