ICD-10 Coding for Diffuse Alveolar Hemorrhage(R04.8, M31.30)
Complete ICD-10-CM coding and documentation guide for Diffuse Alveolar Hemorrhage. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Diffuse Alveolar Hemorrhage
R04-R09Primary Range
Symptoms and signs involving the circulatory and respiratory systems
Includes codes for hemorrhage from the respiratory tract, including DAH.
Systemic connective tissue disorders
Includes codes for vasculitis and autoimmune conditions often underlying DAH.
Other diseases of the respiratory system
Includes codes for respiratory failure, which may accompany DAH.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R04.8 | Hemorrhage from other sites in respiratory tract | Use when DAH is diagnosed and documented, especially when no specific underlying cause is identified. |
|
| M31.30 | Granulomatosis with polyangiitis, unspecified | Use when DAH is secondary to granulomatosis with polyangiitis. |
|
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 diffuse alveolar hemorrhage
Essential facts and insights about Diffuse Alveolar Hemorrhage
Primary ICD-10-CM Codes for diffuse alveolar hemorrhage
Decision Criteria
clinical Criteria
- Presence of diffuse alveolar infiltrates and bloody lavage
documentation Criteria
- Explicit mention of DAH and any underlying condition
Clinical Validation Requirements
- Bronchoalveolar lavage showing progressively bloody return
- Imaging showing bilateral infiltrates
- Laboratory tests indicating dropping hemoglobin levels
Code-Specific Risks
- Risk of undercoding if underlying cause is not documented and coded.
Coding Notes
- Ensure documentation clearly links DAH to any underlying conditions.
M31.30 - Granulomatosis with polyangiitis, unspecified
Use when DAH is secondary to granulomatosis with polyangiitis.
Applicable To
- ANCA-associated vasculitis
Excludes
- Other specified vasculitis (M31.89)
Clinical Validation Requirements
- Positive ANCA test
- Biopsy confirming vasculitis
Coding Notes
Ensure documentation specifies the type of vasculitis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Acute respiratory failure with hypoxia
J96.01Differential 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 Diffuse Alveolar Hemorrhage to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R04.8.
Impact
Clinical: Misleading clinical picture., Regulatory: Non-compliance with coding standards., Financial: Potential revenue loss due to incorrect DRG.
Mitigation Strategy
Thorough patient history and diagnostic testing., Clear documentation of all findings.
Impact
Reimbursement: Potential underpayment due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data for clinical analysis and reporting.
Mitigation Strategy
Always document and code the underlying cause first if known.
Impact
Failure to document all relevant conditions leading to DAH.
Mitigation Strategy
Implement thorough documentation practices and regular audits.
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 Diffuse Alveolar Hemorrhage, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Diffuse Alveolar Hemorrhage
Use these documentation templates to ensure complete and accurate documentation for Diffuse Alveolar Hemorrhage. These templates include all required elements for proper coding and billing.
DAH with suspected vasculitis
Specialty: PulmonologyRequired Elements
- Patient history and presenting symptoms
- Results of bronchoalveolar lavage
- Imaging findings
- Laboratory results
- Link to underlying condition
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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