ICD-10 Coding for Diaphragmatic Paralysis(J98.6, P14.2)
Complete ICD-10-CM coding and documentation guide for Diaphragmatic Paralysis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Diaphragmatic Paralysis
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| J98.6 | Disorders of diaphragm | Use for acquired diaphragmatic paralysis without specific etiology. |
|
| P14.2 | Phrenic nerve paralysis due to birth injury | Use for neonatal cases with documented birth trauma. |
|
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 diaphragmatic paralysis
Essential facts and insights about Diaphragmatic Paralysis
Primary ICD-10-CM Codes for lymphocytes diaphragmatic paralysis
Decision Criteria
clinical Criteria
- Paradoxical diaphragmatic movement confirmed by imaging.
Applicable To
- Diaphragmatic paralysis
Excludes
- Congenital diaphragmatic hernia (Q79.0)
Clinical Validation Requirements
- Paradoxical diaphragmatic movement on fluoroscopic sniff test
- Unilateral elevation of hemidiaphragm on upright CXR
Code-Specific Risks
- Incorrectly coding without specifying laterality.
Coding Notes
- Ensure documentation specifies laterality and etiology.
P14.2 - Phrenic nerve paralysis due to birth injury
Use for neonatal cases with documented birth trauma.
Applicable To
- Neonatal phrenic nerve injury
Clinical Validation Requirements
- Documentation of birth trauma leading to phrenic nerve injury.
Coding Notes
Ensure birth trauma is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Phrenic nerve disorder
G58.7Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Dyspnea
R06.8Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Diaphragmatic Paralysis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code J98.6.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Include laterality in all relevant documentation.
Impact
Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Impacts accuracy of clinical data.
Mitigation Strategy
Always code J98.6 when imaging confirms paralysis.
Impact
Improper sequencing can lead to audit flags.
Mitigation Strategy
Ensure U07.1 is sequenced as the primary diagnosis when COVID-19 is the cause.
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 Diaphragmatic Paralysis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Diaphragmatic Paralysis
Use these documentation templates to ensure complete and accurate documentation for Diaphragmatic Paralysis. These templates include all required elements for proper coding and billing.
Post-thoracic surgery paralysis
Specialty: PulmonologyRequired Elements
- Laterality
- Etiology
- Confirmatory tests
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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