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ICD-10 Coding for Eosinophilic Asthma(J82.83)

Complete ICD-10-CM coding and documentation guide for Eosinophilic Asthma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Asthma with Eosinophilic InflammationEosinophilic Bronchial Asthma

Related ICD-10 Code Ranges

Complete code families applicable to Eosinophilic Asthma

J82-J84Primary Range

Other Respiratory Conditions

This range includes eosinophilic asthma, which is classified under pulmonary eosinophilia.

Key Information: ICD-10 code for eosinophilic asthma

Essential facts and insights about Eosinophilic Asthma

The ICD-10 code for eosinophilic asthma is J82.83, used when eosinophilic phenotype is confirmed.

Primary ICD-10-CM Code for eosinophilic asthma

Eosinophilic asthma
Billable Code

Decision Criteria

clinical Criteria

  • Eosinophil counts and FeNO levels meet diagnostic thresholds.

documentation Criteria

  • Explicit mention of 'eosinophilic asthma' in clinical notes.

Applicable To

  • Asthma with eosinophilic inflammation

Excludes

Clinical Validation Requirements

  • Sputum eosinophils ≥2%
  • Blood eosinophils ≥150 cells/µL
  • FeNO ≥50 ppb

Code-Specific Risks

  • Incorrectly using J45.- codes when eosinophilic phenotype is specified.
  • Not sequencing with underlying etiology codes when applicable.

Coding Notes

  • Ensure eosinophilic asthma is documented explicitly and sequence codes correctly based on etiology.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Acute exacerbation

R05.1
Use when status asthmaticus is present.

Long-term corticosteroid use

Z79.52
Use for patients dependent on biologics.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Unspecified asthma

J45.909
Use J45.909 when asthma type is not specified as eosinophilic.

Aspirin-induced asthma

J45.990
Use J45.990 for asthma exacerbated by aspirin, with eosinophilic asthma as secondary.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Eosinophilic Asthma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code J82.83.

Impact

Clinical: Misrepresentation of patient's condition., Regulatory: Potential audit issues., Financial: Incorrect billing and reimbursement.

Mitigation Strategy

Educate clinicians on documentation specificity., Use templates to guide documentation.

Impact

Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Use J82.83 when eosinophilic phenotype is confirmed and documented.

Impact

Incorrect sequencing of eosinophilic asthma with underlying conditions.

Mitigation Strategy

Educate coders on proper sequencing rules.

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 Eosinophilic Asthma, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Eosinophilic Asthma

Use these documentation templates to ensure complete and accurate documentation for Eosinophilic Asthma. These templates include all required elements for proper coding and billing.

Pulmonology Progress Note

Specialty: Pulmonology

Required Elements

  • Diagnosis confirmation with lab results
  • Treatment history and response
  • Exclusion of differential diagnoses

Example Documentation

Assessment: Severe eosinophilic asthma (ICD-10: J82.83) confirmed by sputum eosinophilia (4%, 3/15/2025).

Examples: Poor vs. Good Documentation

Poor Documentation Example
Asthma exacerbation
Good Documentation Example
Eosinophilic asthma with acute exacerbation (FEV1 60% predicted), blood eosinophils 420 cells/µL, FeNO 65 ppb
Explanation
The good example provides specific clinical details and confirms eosinophilic phenotype.

Need help with ICD-10 coding for Eosinophilic Asthma? Ask your questions below.

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