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Home/Diagnosis/ICD-10 Coding for Emphysema

ICD-10 Coding for Emphysema

J43.2
J43.1
J43.0

Complete ICD-10-CM coding and documentation guide for icd-10 coding for emphysema includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Pulmonary Emphysema
Chronic Obstructive Pulmonary Disease (COPD) with Emphysema
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Key Information: ICD-10 Coding for Emphysema

Essential facts and insights about ICD-10 Coding for Emphysema

Use ICD-10 code J43.2 for centrilobular emphysema, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Centrilobular emphysema

Billable Code
J43.2
Billable

Diagnostic Criteria

clinical:
  • • CT confirms centrilobular emphysema
documentation:
  • • Document tobacco use history

Applicable To

  • • Centrilobular emphysema confirmed by CT

Important Notes

  • • Ensure CT findings are documented to support this code.

Panlobular emphysema

Billable Code
J43.1
Billable

Diagnostic Criteria

clinical:
  • • Serum A1AD level <11 µmol/L
  • • Panlobular pattern on CT

Applicable To

  • • Panlobular emphysema associated with alpha-1 antitrypsin deficiency

Important Notes

  • • Document genetic testing results to support this code.

MacLeod’s syndrome

Billable Code
J43.0
Billable

Diagnostic Criteria

clinical:
  • • Unilateral hyperinflation on imaging
  • • V/Q scan mismatch >20%

Applicable To

  • • Unilateral hyperlucency consistent with MacLeod’s syndrome

Important Notes

  • • Ensure imaging findings are documented to support this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z87.891

Personal history of nicotine dependence

Use to indicate history of tobacco use.

Z77.22

Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)

Use if exposure to environmental tobacco smoke is relevant.

Frequently Asked Questions

What is the ICD-10 code for centrilobular emphysema?

The ICD-10 code for centrilobular emphysema is J43.2. It requires documentation of CT findings confirming the centrilobular pattern.

How should emphysema be coded with COPD?

According to 2024 guidelines, only code emphysema (J43.x) when both COPD and emphysema are present, unless chronic bronchitis is also documented.

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