Complete ICD-10-CM coding and documentation guide for icd-10 coding for pneumothorax includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Pneumothorax
Use ICD-10 code J93.11 for primary spontaneous pneumothorax, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Shortness of breath
Use if shortness of breath is documented but not integral to pneumothorax.
Personal history of nicotine dependence
Use if patient has a history of smoking.
Fracture of rib(s), initial encounter
Use if rib fractures are present.
Other specified postprocedural states
Use if additional postprocedural conditions are present.
The ICD-10 code for primary spontaneous pneumothorax is J93.11. It is used when there is no underlying lung disease.
Postprocedural pneumothorax is coded as J95.811, provided there is explicit documentation linking it as a complication of the procedure.
Documentation must specify the type of pneumothorax, any underlying conditions, and whether it is a complication of a procedure.