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Home/Diagnosis/ICD-10 Coding for Spontaneous Pneumothorax

ICD-10 Coding for Spontaneous Pneumothorax

J93.11
J93.12
J93.9

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

Also Known as:
Primary Spontaneous Pneumothorax
Secondary Spontaneous Pneumothorax
PTX
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Key Information: ICD-10 Coding for Spontaneous Pneumothorax

Essential facts and insights about ICD-10 Coding for Spontaneous Pneumothorax

Use ICD-10 code J93.11 for primary spontaneous pneumothorax, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Primary spontaneous pneumothorax

Billable Code
J93.11
Billable

Diagnostic Criteria

  • • No underlying lung disease present

Applicable To

  • • Spontaneous pneumothorax without underlying lung disease

Important Notes

  • • Ensure documentation specifies 'primary' and absence of lung disease.

Secondary spontaneous pneumothorax

Billable Code
J93.12
Billable

Diagnostic Criteria

    Applicable To

    • • Spontaneous pneumothorax with underlying lung disease

    Important Notes

    • • Link to specific lung disease for accurate coding.

    Pneumothorax, unspecified

    Billable Code
    J93.9
    Billable

    Diagnostic Criteria

      Applicable To

      • • Pneumothorax not otherwise specified

      Important Notes

      • • Avoid using unless documentation is insufficient.
      Ancillary Codes

      Additional codes that may be used with this diagnosis

      Z87.891

      Personal history of pneumothorax

      Use to indicate a history of pneumothorax if recurrent.

      E84.9

      Cystic fibrosis, unspecified

      Use to specify the underlying condition when applicable.

      Frequently Asked Questions

      What is the ICD-10 code for primary spontaneous pneumothorax?

      The ICD-10 code for primary spontaneous pneumothorax is J93.11, used when there is no underlying lung disease.

      How do you code a secondary spontaneous pneumothorax?

      Code secondary spontaneous pneumothorax as J93.12, ensuring to document the underlying lung disease.

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