Unilateral pulmonary emphysema [MacLeod's syndrome]
ICD-10 J43.0 is a billable code used to indicate a diagnosis of unilateral pulmonary emphysema [macleod's syndrome].
Unilateral pulmonary emphysema, also known as MacLeod's syndrome, is characterized by the presence of emphysema affecting only one lung. This condition typically arises due to chronic obstructive pulmonary disease (COPD) or can be a result of congenital anomalies, such as bronchial obstruction or lung hypoplasia. Clinically, patients may present with symptoms such as dyspnea, chronic cough, and wheezing, which can be exacerbated by physical activity. The anatomy involved includes the alveoli and bronchi of the affected lung, where destruction of the alveolar walls leads to decreased surface area for gas exchange. Disease progression can vary; some patients may experience stable symptoms, while others may have rapid deterioration, particularly if exposed to risk factors like smoking or environmental pollutants. Diagnostic considerations include imaging studies such as chest X-rays or CT scans, which can reveal hyperinflation of the affected lung and other characteristic changes associated with emphysema. Pulmonary function tests may also be utilized to assess the degree of airflow obstruction.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
J43.0 specifically covers unilateral pulmonary emphysema, which may occur due to chronic lung disease, congenital lung defects, or localized lung damage. It is essential to differentiate it from bilateral emphysema and other respiratory conditions.
J43.0 should be used when the emphysema is confirmed to be unilateral, as evidenced by imaging studies. If the emphysema affects both lungs, codes such as J43.9 (emphysema, unspecified) or J44 (other COPD) should be considered.
Documentation for J43.0 should include a clear diagnosis of unilateral emphysema, results from imaging studies (such as chest X-rays or CT scans), and a detailed clinical history that supports the diagnosis and any associated symptoms.
