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ICD-10 Guide
ICD-10 CodesJ62.0

J62.0

Pneumoconiosis due to talc dust

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 J62.0 is a billable code used to indicate a diagnosis of pneumoconiosis due to talc dust.

Key Diagnostic Point:

Pneumoconiosis due to talc dust is a type of lung disease caused by the inhalation of talc particles, which can lead to chronic respiratory issues. Clinically, patients may present with symptoms such as cough, dyspnea (shortness of breath), and chest discomfort. The disease primarily affects the lungs, where talc dust accumulates, leading to inflammation and fibrosis of lung tissue. Over time, this can result in progressive respiratory impairment and may complicate existing lung conditions. Diagnosis typically involves a thorough patient history, including occupational exposure to talc, physical examination, and imaging studies such as chest X-rays or CT scans to identify characteristic changes in lung architecture. Pulmonary function tests may also be conducted to assess the extent of lung impairment. Early detection is crucial to manage symptoms and prevent further lung damage, as the disease can progress even after exposure has ceased.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires detailed occupational history and imaging studies.
  • Treatment complexity: Management may involve pulmonary rehabilitation and symptomatic treatment.
  • Documentation requirements: Comprehensive documentation of exposure history and clinical findings is essential.
  • Coding specificity: Requires precise coding to differentiate from other pneumoconioses.

Audit Risk Factors

  • Common coding errors: Misclassification with other pneumoconiosis codes.
  • Documentation gaps: Incomplete occupational history or lack of imaging results.
  • Billing challenges: Potential denials if documentation does not clearly support the diagnosis.

Specialty Focus

Medical Specialties

Pulmonology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Occupational Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Pneumoconiosis due to talc dust has significant clinical implications, particularly for individuals in occupations with high talc exposure. It contributes to respiratory morbidity and can lead to decreased quality of life and increased healthcare utilization. Understanding the epidemiology of this condition is crucial for public health initiatives aimed at reducing exposure in at-risk populations. Quality measures may include monitoring lung function and ensuring appropriate follow-up care for affected individuals.

ICD-9 vs ICD-10

Pneumoconiosis due to talc dust has significant clinical implications, particularly for individuals in occupations with high talc exposure. It contributes to respiratory morbidity and can lead to decreased quality of life and increased healthcare utilization. Understanding the epidemiology of this condition is crucial for public health initiatives aimed at reducing exposure in at-risk populations. Quality measures may include monitoring lung function and ensuring appropriate follow-up care for affected individuals.

Reimbursement & Billing Impact

Reimbursement may be affected by the completeness of the documentation, particularly regarding the occupational exposure to talc. Common denials may arise if the documentation does not clearly establish the link between the exposure and the diagnosis. It is essential to ensure that all relevant clinical information is included in the medical record to support the claim and facilitate appropriate reimbursement.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by J62.0?

J62.0 specifically covers pneumoconiosis resulting from the inhalation of talc dust. It is important to differentiate it from other types of pneumoconiosis, such as those caused by asbestos or coal dust.

When should J62.0 be used instead of related codes?

J62.0 should be used when there is clear evidence of pneumoconiosis due to talc exposure, as indicated by patient history and diagnostic imaging. It is crucial to differentiate it from other pneumoconiosis codes based on the specific dust exposure.

What documentation supports J62.0?

Documentation for J62.0 should include a detailed occupational history indicating exposure to talc dust, results from imaging studies showing lung changes, and pulmonary function test results that demonstrate lung impairment.