Medical Codes for Chronic Lung Disease [Infographic]

Medical Codes for Chronic Lung Disease [Infographic]

Some of the common chronic lung conditions that can adversely affect the quality of one’s life are Chronic Obstructive Pulmonary Disease or COPD (Emphysema and chronic bronchitis), asthma, cystic fibrosis, and occupational lung diseases. These diseases can affect the lungs and other parts of the respiratory system. Pulmonologists, respiratory therapists, primary care providers or other specialists involved in treating lung conditions can consider the support of an experienced medical coding company to report their services accurately on the medical claims and thus get proper reimbursement from insurers.

Proper diagnosis of Chronic lung disease (CLD) may involve a chest X-ray that shows scar tissues in the lungs, blood tests, Electrocardiogram (ECG), Echocardiogram, Computerized tomography (CT), Magnetic resonance imaging (MRI), Open-lung biopsy, Lung (pulmonary) function test, or even Sleep study (polysomnogram).  Pulmonary medical coding involves assigning accurate diagnosis and procedure codes for the treated conditions on physicians’ medical claims.

Medical Codes for Chronic Lung Disease

Common Lung Conditions and Their ICD-10 Codes  [Infographic]

Common Lung Conditions and Their ICD-10 Codes [Infographic]

Lung diseases include many conditions such as lung cancer, chronic obstructive pulmonary disease (COPD), pulmonary fibrosis, chronic bronchitis, emphysema, interstitial lung disease, asthma, and infections such as influenza, pneumonia, and tuberculosis. Pulmonologists are specialized in diagnosing and treating such diseases related to the respiratory system. Pulmonary medical coding involves submitting error-free medical claims to get the right reimbursement on-time.

Each year, October is observed as Healthy Lung Month to raise awareness about lung disease and the importance of protecting the lungs. Common symptoms of lung disease include chronic cough, chest pain, shortness of breath without any physical exertion, chronic mucus production, and wheezing. Based on the symptoms and diagnosis, doctors might recommend a lung test, bronchoscopy, CT scan, lung biopsy, exhaled nitric oxide test or more. Diagnoses should be documented using the right ICD-10 codes.

Check out the infographic below

Common Lung Conditions and Their ICD-10 Codes

How Do You Code Chronic Lung Disease?

Chronic lung diseases are disorders affecting the lungs and other parts of the respiratory system. These usually develop slowly and may get worse over time. Some of the common chronic lung conditions that can adversely affect the quality of one’s life include Chronic Obstructive Pulmonary Disease or COPD (Emphysema and chronic bronchitis), asthma, cystic fibrosis, and occupational lung diseases. Pulmonary medical coding involves assigning accurate diagnosis and procedure codes for the treated conditions on physicians’ medical claims. Risk factors for these diseases include tobacco smoke, air pollution, occupational chemicals and dust, and frequent lower respiratory infections mainly during childhood.

Our experienced team is up-to-date with all new regulations and policies and Outsource Strategies International (OSI), our team of AAPC-certified coders is well-versed in the current codes related to the diagnosis and treatment of diseases affecting the lungs and respiratory tract. With timely interventions and updates in working strategies, we work with you to minimize claim denial and enhance cash in-flow.

Call us at 1-800-670-2809!

Chronic lung disease (CLD) is usually diagnosed using a chest X-ray that shows scar tissues in the lungs, blood tests, Electrocardiogram (ECG), Echocardiogram, Computerized tomography (CT), Magnetic resonance imaging (MRI), Open-lung biopsy, Lung (pulmonary) function test, or even Sleep study (polysomnogram).

ICD-10 Codes for Chronic Lung Diseases

Bronchopulmonary Dysplasia

This form of chronic lung disease affects newborns. Referred to as chronic lung disease of premature babies, this condition can be mild, moderate or severe. It occurs as a result of damage to the lungs or with long-term use of oxygen. Wilson Mikity syndrome (WMS) is another chronic lung disease affecting premature infants. This condition is sometimes considered as part of the spectrum of bronchopulmonary dysplasia.

  • P27 Chronic respiratory disease originating in the perinatal period
  • P27.0 Wilson-Mikity syndrome
  • P27.1 Bronchopulmonary dysplasia originating in the perinatal period
  • P27.8 Other chronic respiratory diseases originating in the perinatal period
  • P27.9 Unspecified chronic respiratory disease originating in the perinatal period

Cystic Fibrosis (CF)

Cystic fibrosis is a progressive, genetic disorder that affects the lungs, digestive system, pancreas, and other organs. This disease may limit the ability to breathe over time. Symptoms may include persistent coughing, frequent lung infections, wheezing or shortness of breath, and chronic sinus infections.

  • E84 Cystic fibrosis
  • E84.0 Cystic fibrosis with pulmonary manifestations
  • E84.1 Cystic fibrosis with intestinal manifestations
  • E84.11 Meconium ileus in cystic fibrosis
  • E84.19 Cystic fibrosis with other intestinal manifestations
  • E84.8 Cystic fibrosis with other manifestations
  • E84.9 Cystic fibrosis, unspecified

Asthma

One of the most common types of CLD, asthma can be serious or even life-threatening. According to the American Lung Association, more than 26 million Americans have asthma, including 6.1 million children. Common symptoms of asthma include a tight feeling in the chest, shortness of breath, coughing and wheezing.

  • J45 Asthma
    • J45.2 Mild intermittent asthma
    • J45.3 Mild persistent asthma
    • J45.4 Moderate persistent asthma
    • J45.5 Severe persistent asthma
    • J45.9 Other and unspecified asthma

COPD (emphysema and chronic bronchitis)

COPD is a chronic inflammatory lung disease that obstructs air flow from the lungs. Emphysema and chronic bronchitis are two common conditions that lead to COPD. Common symptoms include breathing difficulties, chest tightness, respiratory infections, wheezing, cough, and mucus production.

  • J40 Bronchitis, not specified as acute or chronic
  • J41 Simple and mucopurulent chronic bronchitis
    • J41.0 Simple chronic bronchitis
    • J41.1 Mucopurulent chronic bronchitis
    • J41.8 Mixed simple and mucopurulent chronic bronchitis
  • J42 Unspecified chronic bronchitis
  • J43 Emphysema
    • J43.0 Unilateral pulmonary emphysema [MacLeod’s syndrome]
    • J43.1 Panlobular emphysema
    • J43.2 Centrilobular emphysema
    • J43.8 Other emphysema
    • J43.9 Emphysema, unspecified
  • J44 Other chronic obstructive pulmonary disease
    • J44.0 Chronic obstructive pulmonary disease with (acute) lower respiratory infection
    • J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation
    • J44.9 Chronic obstructive pulmonary disease, unspecified

Pulmonary Hypertension

This chronic condition occurs when the blood pressure level is high. The condition can be associated with any lung or heart diseases. Treatments often help reduce the signs and symptoms and slow the progress of the disease.

  • I27.0 Primary pulmonary hypertension
  • I27.1 Kyphoscoliotic heart disease
  • I27.2 Other secondary pulmonary hypertension
    • I27.20 Pulmonary hypertension, unspecified
    • I27.21 Secondary pulmonary arterial hypertension
    • I27.22 Pulmonary hypertension due to left heart disease
    • I27.23 Pulmonary hypertension due to lung diseases and hypoxia
    • I27.24 Chronic thromboembolic pulmonary hypertension
    • I27.29 Other secondary pulmonary hypertension

Occupational Lung Diseases

Occupational lung diseases are often the result of repeated, long-term exposure to any hazardous agents that can damage the lungs. Symptoms of such conditions may include abnormal breathing pattern, coughing, shortness of breath, and chest pain. Some types of occupational respiratory disease include Coal workers’ pneumoconiosis, also known as Black Lung Disease, asbestosis, silicosis, Farmers’ lung (allergic alveolitis), and more. Occupational respiratory disease can also lead to lung cancer and other diseases. November is observed as lung cancer awareness month. This month helps raise awareness about the impact of the disease and challenges associated with this cancer.

Some of the ICD-10 codes related to occupational lung diseases include

  • J60 Coal worker’s pneumoconiosis
  • J61 Pneumoconiosis due to asbestos and other mineral fibers
  • J62 Pneumoconiosis due to dust containing silica
    • J62.0 Pneumoconiosis due to talc dust
    • J62.8 Pneumoconiosis due to other dust containing silica
  • J63 Pneumoconiosis due to other inorganic dusts
  • J67 Hypersensitivity pneumonitis due to organic dust
    • J67.0 Farmer’s lung
  • Z77.090 Contact with and (suspected) exposure to asbestos

Pulmonologists, respiratory therapists, primary care providers or any other specialists involved in treating lung conditions can associate with an experienced medical coding company that can help report their services accurately on the medical claims and thus get proper reimbursement from insurers.

Know The ICD-10 Codes To Report Lung Conditions This Healthy Lung Month

Know The ICD-10 Codes To Report Lung Conditions This Healthy Lung Month

Each year, October is observed as Healthy Lung Month. This month is dedicated to raising awareness about lung disease, the importance of protecting the lungs, and possible ways of avoiding lung health issues. Pulmonology is a branch of internal medicine and pulmonologists are specialized in diagnosing and treating diseases of the respiratory system – the lungs and other organs that help you breathe. Lung diseases may refer to many conditions including lung cancer, chronic obstructive pulmonary disease (COPD), pulmonary fibrosis, chronic bronchitis, emphysema, interstitial lung disease, asthma, and infections such as influenza, pneumonia, and tuberculosis. Pulmonary medical coding must be error-free if the medical claims are to be reimbursed by the insurer on time. Assigning the right procedure and diagnosis codes minimizes claim denials and enhances cash in-flow for practices.

To keep the lungs healthy and prevent the risk of lung disease, the American Lung Association recommends exercising regularly, performing breathing exercises, avoiding smoking, avoiding exposure to indoor pollutants that can damage your lungs, reducing exposure to outdoor air pollution and getting vaccines against infectious respiratory. It is also important to screen for lung cancer even if there’s no signs of the condition, as early detection is critical to identifying and beating the disease.

Some of the common symptoms of lung disease include chronic cough that lasts for at least one month, chest pain mainly caused by breathing or coughing, shortness of breath without any physical exertion, chronic mucus production and wheezing. Depending on symptoms and diagnosis, doctors might recommend a lung test or procedure such as bronchoscopy, chest tube procedure, CT scan, lung biopsy, endobronchial ultrasound (EBUS), exhaled nitric oxide test and more. A pulmonologist can treat many kinds of lung problems. Diagnoses should be documented using right ICD-10 codes.

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Being an experienced pulmonary medical billing company, our team is well-versed with the codes related to the diagnosis and treatment of diseases affecting the lungs and respiratory tract. With timely interventions, we help practices to get reimbursement for the services they offer.

Benefit from a free medical coding trial! Call us at 1-800-670-2809!

Take a look at the ICD-10 codes to report common lung conditions treated by pulmonologists.

Emphysema

  • J43 Emphysema
    • J43.0 Unilateral pulmonary emphysema [MacLeod’s syndrome]
    • J43.1 Panlobular emphysema
    • J43.2 Centrilobular emphysema
    • J43.8 Other emphysema
    • J43.9 Emphysema, unspecified

Asthma

  • J45 – Asthma
    • J45.2 – Mild intermittent asthma
    • J45.3 – Mild persistent asthma
    • J45.4 – Moderate persistent asthma
    • J45.5 – Severe persistent asthma
    • J45.9 – Other and unspecified asthma

Chronic Obstructive Pulmonary Disease (COPD)

  • J44 – Other chronic obstructive pulmonary disease
    • J44.0 – Chronic obstructive pulmonary disease with acute lower respiratory infection
    • J44.1 – Chronic obstructive pulmonary disease with (acute) exacerbation
    • J44.9 – Chronic obstructive pulmonary disease, unspecified

Lung Cancer

  • C34 – Malignant neoplasm of bronchus and lung
    • C34.0 – Malignant neoplasm of main bronchus
    • C34.1 – Malignant neoplasm of upper lobe, bronchus or lung
    • C34.2 – Malignant neoplasm of middle lobe, bronchus or lung

Pulmonary Hypertension (PH)

  • I27 – Other pulmonary heart diseases
  • I27.0 – Primary pulmonary hypertension
  • I27.1 – Kyphoscoliotic heart disease
  • I27.2 – Other secondary pulmonary hypertension

Obstructive Sleep Apnea

  • G47.3 Sleep apnea
    • G47.30 …… unspecified
    • G47.31 Primary central sleep apnea
    • G47.39 Other sleep apnea

Tuberculosis

  • A15 Respiratory tuberculosis
    • A15.0 Tuberculosis of lung
    • A15.7 Primary respiratory tuberculosis
    • A15.8 Other respiratory tuberculosis
    • A15.9 Respiratory tuberculosis unspecified

Pneumonia

  • J17 Pneumonia in diseases classified elsewhere
  • J18 Pneumonia, unspecified organism
    • J18.0 Bronchopneumonia, unspecified organism
    • J18.1 Lobar pneumonia, unspecified organism
    • J18.2 Hypostatic pneumonia, unspecified organism

Bronchitis

  • J20 Acute bronchitis

    • J20.0 Acute bronchitis due to Mycoplasma pneumoniae
    • J20.1 Acute bronchitis due to Hemophilus influenzae
  • J21 Acute bronchiolitis

Professional medical coding companies will be up to date with any coding changes and updates. Practices can rely on such companies to submit accurate claims.

ICD-10 Codes for Coding Emphysema – A Chronic Obstructive Pulmonary Disease

ICD-10 Codes for Coding Emphysema – A Chronic Obstructive Pulmonary Disease

Emphysema is a long-term, progressive disease of the lungs that primarily causes shortness of breath. In people with emphysema, the air sacs (the inner walls of the lungs-alveoli) get damaged, stretched and rupture – creating larger air spaces. This in turn reduces the surface area of the lungs and the amount of oxygen that reaches your blood stream. Regarded as a type of chronic obstructive pulmonary disease (COPD), the condition can cause chronic cough and difficulty in breathing. Generally, people with emphysema also have chronic bronchitis (inflammation of the bronchial tubes) which leads to persistent cough. Long-term exposure to air-borne irritants including – tobacco smoke, marijuana smoke, air pollution and other chemical fumes and dust are the main factors that cause the obstructive pulmonary disease. Treatment for this condition is based on the type of symptoms – whether mild, moderate or severe. Treatment includes medications, the use of an inhaler, respiratory assistance and possibly surgery to prevent complications. There’s no cure for emphysema, but quitting the habit of smoking or reducing exposure to second-hand smoke can help control symptoms in a better manner.  Physicians’ practices dealing with patients suffering from emphysema need to know the ICD-10 codes to report this condition correctly. Outsourced medical billing services from a reputable medical billing company can help in accurate and timely claim filing for appropriate reimbursement.

Reports suggest that about 3.5 million people, or 1.5 percent of the US population, received a diagnosis of emphysema in 2016. The number of deaths involving emphysema was 2.3 people in every 100,000. In most cases, men are more likely to develop emphysema than women. The exact reason for this is unknown, however differences between male and female hormones are suspected. Older age is one of the prominent risk factor for emphysema. Lung function normally declines with age. Therefore, the older the person, the more likely they will have enough lung tissue destruction to produce emphysema.

What Symptoms Occur?

In most cases, emphysema develops slowly. A person can have the condition for many years even without any noticeable signs and symptoms. Two of the key symptoms of emphysema are shortness of breath and a chronic cough – which appear in the early stages. Shortness of breath may be experienced only during physical exertion, but as the disease progresses, it can occur when the patient is resting as well. Other additional symptoms that can occur during the later stages of the disease include –

  • Frequent lung infections
  • Wheezing
  • Sleep problems
  • Reduced appetite and weight loss
  • Fatigue
  • Blue-tinged lips or fingernail beds, or cyanosis, due to a lack of oxygen
  • Anxiety and depression
  • A lot of mucus
  • Morning headaches (due to a lack of oxygen, when breathing at night is difficult)

When to Seek Medical Treatment?

If a person experience worsening shortness of breath, it is important to seek medical attention. As breathing problems can also occur with other diseases, (particularly heart disease and other lung diseases), it is important not to overlook or minimize this symptom. In addition, a gradual increase in the ability to exercise or perform daily activities, a persistent cough and wheezing problems should also suggest a regular visit to the physician.

In order to diagnose whether you have emphysema, physicians will conduct a detailed review of your medical history and do a physical examination. A wide variety of imaging tests like – chest X-ray, Computerized tomography (CT) scans will be conducted to correctly diagnose the root cause of shortness of breath. Lung function tests may also be conducted to measure how much air your lungs can hold and how well the air flows in and out of your lungs. In addition, blood tests may be conducted to determine how well your lungs transfer oxygen into, and remove carbon dioxide from, your bloodstream.

There is no specific cure for emphysema. However, treatment can help relieve the symptoms and slow the progression of the symptoms. Treatment for this type of chronic obstructive pulmonary disease (COPD) may include a combination of medications and other therapies. Depending on the severity of symptoms, pulmonologists and other specialists may suggest medications like – bronchodilators, inhaled steroids and other antibiotics to help relieve shortness of breath. Therapies include – Pulmonary rehabilitation (breathing exercises and techniques), nutrition therapy (advice about proper nutrition), and supplemental oxygen therapy. In severe or advanced cases of emphysema, surgery will be considered as a last option and these include – lung volume reduction surgery (LVRS) and lung transplantation. Treatment procedures and other tests performed by pulmonologists or other specialists must be carefully documented using the correct medical codes. Medical billing and coding outsourcing services provided by established medical billing companies can help physicians use the correct codes for their billing purposes.

ICD-10 Codes for Diagnosing Emphysema include –

  • J43 – Emphysema
  • J43.0 – Unilateral pulmonary emphysema [MacLeod’s syndrome]
  • J43.1 – Panlobular emphysema
  • J43.2 – Centrilobular emphysema
  • J43.8 – Other emphysema
  • J43.9 – Emphysema, unspecified

Preventing Emphysema

Prevention of this pulmonary disease is closely linked with the prevention of the habit of smoking or avoiding breathing or exposure to second-hand smoke. The primary risk factor for the occurrence of the condition is – smoking of cigarettes – active smokers are at increased risk of suffering from this condition. For individuals that have emphysema caused by other respiratory irritants – avoiding polluted environment is the best first step toward prevention. People who work with chemical fumes, dust or other pollutant environments need to wear a mask to protect their lungs.

Medical billing and coding for emphysema can be challenging, as there are several codes associated with the condition. By outsourcing these tasks to a reliable and established pulmonary medical coding company (that offers the services of AAPC-certified coding specialists), healthcare practices can ensure correct and timely medical billing and claims submission.