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Home/Diagnosis/ICD-10 Coding for Lung Abscess

ICD-10 Coding for Lung Abscess

J85.1
J85.2
J85.0

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

Also Known as:
Pulmonary Abscess
Lung Cavity
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Key Information: ICD-10 Coding for Lung Abscess

Essential facts and insights about ICD-10 Coding for Lung Abscess

Use ICD-10 code J85.1 for abscess of lung with pneumonia, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Abscess of lung with pneumonia

Billable Code
J85.1
Billable

Diagnostic Criteria

  • • Presence of pneumonia confirmed by imaging and clinical symptoms.

Applicable To

  • • Lung abscess with concurrent pneumonia

Important Notes

  • • Ensure documentation specifies the presence of pneumonia to justify this code.

Abscess of lung without pneumonia

Billable Code
J85.2
Billable

Diagnostic Criteria

  • • Imaging showing abscess cavity without surrounding infiltrate

Applicable To

  • • Lung abscess without concurrent pneumonia

Important Notes

  • • Documentation must clearly state the absence of pneumonia.

Gangrene and necrosis of lung

Billable Code
J85.0
Billable

Diagnostic Criteria

  • • CT showing significant lung tissue necrosis

Applicable To

  • • Lung gangrene

Important Notes

  • • Ensure documentation specifies the extent of necrosis.
Ancillary Codes

Additional codes that may be used with this diagnosis

J15.9

Unspecified bacterial pneumonia

Use alongside J85.1 when the bacterial cause of pneumonia is unspecified.

Frequently Asked Questions

What is the ICD-10 code for lung abscess with pneumonia?

The ICD-10 code for a lung abscess with pneumonia is J85.1. This code is used when there is documented evidence of pneumonia alongside the lung abscess.

How do you code a lung abscess without pneumonia?

For a lung abscess without pneumonia, use ICD-10 code J85.2. Ensure documentation confirms the absence of pneumonia.

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