ICD-10 Coding for Granulomatous Lung Disease(J84.10, D86.0)
Complete ICD-10-CM coding and documentation guide for Granulomatous Lung Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Granulomatous Lung Disease
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 for unspecified pulmonary granulomas not linked to infection. |
|
| D86.0 | Sarcoidosis of lung | Use when sarcoidosis is confirmed with lung involvement. |
|
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 granulomatous lung disease
Essential facts and insights about Granulomatous Lung Disease
Primary ICD-10-CM Codes for granulomatous lung disease
Decision Criteria
clinical Criteria
- CT shows calcified nodules without active infection.
documentation Criteria
- Biopsy confirms non-infectious granuloma.
Applicable To
- Pulmonary granuloma
- Calcified granuloma
Clinical Validation Requirements
- CT showing calcified nodules
- Biopsy confirming non-infectious granuloma
Code-Specific Risks
- Misclassification with infectious granulomas
Coding Notes
- Ensure documentation specifies non-infectious nature to avoid misclassification.
D86.0 - Sarcoidosis of lung
Use when sarcoidosis is confirmed with lung involvement.
Applicable To
- Non-caseating granulomas
- Hilar lymphadenopathy
Excludes
- Tuberculosis (A15-A19)
Clinical Validation Requirements
- Biopsy confirming non-caseating granulomas
- Elevated ACE levels
Coding Notes
Biopsy confirmation is crucial to avoid misclassification.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other nonspecific abnormal finding of lung field
R91.8Differential 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 Granulomatous Lung Disease 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 of infectious vs. non-infectious granulomas., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always document infection status with imaging and biopsy results.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure biopsy confirms non-caseating granulomas for D86.0.
Impact
Using J84.10 without proper documentation of non-infectious granulomas.
Mitigation Strategy
Ensure all imaging and biopsy findings 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 Granulomatous Lung Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Granulomatous Lung Disease
Use these documentation templates to ensure complete and accurate documentation for Granulomatous Lung Disease. These templates include all required elements for proper coding and billing.
Pulmonary Granuloma Evaluation
Specialty: PulmonologyRequired Elements
- CT findings
- Biopsy results
- Infection status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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