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Home/Diagnosis/ICD-10 Coding for Emphysematous Changes

ICD-10 Coding for Emphysematous Changes

J43.1
J43.2
J43.9

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

Also Known as:
Pulmonary Emphysema
Lung Emphysema
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Key Information: ICD-10 Coding for Emphysematous Changes

Essential facts and insights about ICD-10 Coding for Emphysematous Changes

Use ICD-10 code J43.1 for panlobular emphysema, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Panlobular emphysema

Billable Code
J43.1
Billable

Diagnostic Criteria

  • • CT confirmation of panlobular emphysema.

Applicable To

  • • Diffuse alveolar destruction

Important Notes

  • • Ensure CT findings are documented as panlobular.

Centrilobular emphysema

Billable Code
J43.2
Billable

Diagnostic Criteria

  • • HRCT shows centrilobular pattern
  • • Patient has a smoking history

Applicable To

  • • Centrilobular pattern on HRCT

Important Notes

  • • Document smoking history clearly.

Emphysema, unspecified

Billable Code
J43.9
Billable

Diagnostic Criteria

  • • Emphysema is documented without specific type.

Applicable To

  • • Generic emphysema

Important Notes

  • • Encourage specific documentation of emphysema type.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z77.22

Tobacco dependence

Use when there is a history of tobacco use.

Z87.891

Personal history of tobacco use

Use to document past tobacco use.

J96.0

Acute respiratory failure

Use if respiratory failure is present.

Frequently Asked Questions

How is emphysema coded in ICD-10?

Emphysema is coded under J43.- series, with specific codes like J43.1 for panlobular and J43.2 for centrilobular emphysema.

What is the ICD-10 code for centrilobular emphysema?

The ICD-10 code for centrilobular emphysema is J43.2, used when HRCT confirms this pattern.

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