ICD-10 Coding for Idiopathic Pulmonary Fibrosis(J84.112)
Complete ICD-10-CM coding and documentation guide for Idiopathic Pulmonary Fibrosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Idiopathic Pulmonary Fibrosis
J84.1Primary Range
Other interstitial pulmonary diseases with fibrosis
This range includes idiopathic pulmonary fibrosis and other specified interstitial lung diseases with fibrosis.
Key Information: ICD-10 code for idiopathic pulmonary fibrosis
Essential facts and insights about Idiopathic Pulmonary Fibrosis
Primary ICD-10-CM Code for idiopathic pulmonary fibrosis
Decision Criteria
clinical Criteria
- HRCT shows UIP pattern with honeycombing
documentation Criteria
- Exclusion of other interstitial lung diseases
Applicable To
- Usual interstitial pneumonia (UIP) pattern
Excludes
- Pulmonary fibrosis due to known causes
Clinical Validation Requirements
- HRCT showing subpleural, basal-predominant honeycombing ± traction bronchiectasis
- Exclusion of known ILD causes
- Multidisciplinary discussion confirming diagnosis
Code-Specific Risks
- Misclassification if HRCT findings are not specific
- Use of unspecified codes when specific criteria are met
Coding Notes
- Ensure HRCT findings and exclusion of other causes are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
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 Idiopathic Pulmonary Fibrosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code J84.112.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Increases risk of non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Ensure HRCT findings are specific., Exclude other causes before coding.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audit failures., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Ensure documentation supports the use of specific codes like J84.112.
Impact
Using J84.9 when specific criteria for J84.112 are met.
Mitigation Strategy
Ensure documentation supports specific coding.
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 Idiopathic Pulmonary Fibrosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Idiopathic Pulmonary Fibrosis
Use these documentation templates to ensure complete and accurate documentation for Idiopathic Pulmonary Fibrosis. These templates include all required elements for proper coding and billing.
Progressive dyspnea with HRCT findings
Specialty: PulmonologyRequired Elements
- HRCT results
- Biopsy findings
- Exclusion of other ILDs
- Symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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