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ICD-10 Guide
ICD-10 CodesJ62.8

J62.8

Pneumoconiosis due to other dust containing silica

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

Code Description

ICD-10 J62.8 is a billable code used to indicate a diagnosis of pneumoconiosis due to other dust containing silica.

Key Diagnostic Point:

Pneumoconiosis due to other dust containing silica is a type of lung disease caused by the inhalation of dust that contains silica, which is not classified under more specific pneumoconiosis codes. Clinically, patients may present with symptoms such as chronic cough, dyspnea (shortness of breath), and chest pain. The disease primarily affects the respiratory system, leading to inflammation and fibrosis of lung tissue. As the condition progresses, patients may develop progressive massive fibrosis, which can severely impair lung function. Diagnostic considerations include a thorough occupational history, chest radiography, and pulmonary function tests, which help assess the extent of lung damage. High-resolution computed tomography (HRCT) scans may also be utilized to visualize lung abnormalities. Early diagnosis is crucial for managing symptoms and preventing further lung damage, as treatment options are limited and primarily focus on symptom relief and preventing exposure to further dust. Regular monitoring and follow-up are essential to manage disease progression and associated complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires detailed occupational history and imaging studies.
  • Treatment complexity: Limited treatment options focused on symptom management.
  • Documentation requirements: Comprehensive documentation of exposure history and clinical findings.
  • Coding specificity: Requires accurate differentiation from other pneumoconiosis codes.

Audit Risk Factors

  • Common coding errors: Misclassification of pneumoconiosis types.
  • Documentation gaps: Incomplete occupational exposure history.
  • Billing challenges: Difficulty in obtaining reimbursement due to lack of clear documentation.

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 other dust containing silica has significant clinical implications, as it can lead to chronic respiratory issues and decreased quality of life for affected individuals. The condition is particularly relevant in occupational health, impacting workforce productivity and healthcare utilization. Epidemiologically, it is important to monitor the prevalence of this condition in populations exposed to silica dust, as it can inform public health initiatives and workplace safety regulations aimed at reducing exposure and improving respiratory health outcomes.

ICD-9 vs ICD-10

Pneumoconiosis due to other dust containing silica has significant clinical implications, as it can lead to chronic respiratory issues and decreased quality of life for affected individuals. The condition is particularly relevant in occupational health, impacting workforce productivity and healthcare utilization. Epidemiologically, it is important to monitor the prevalence of this condition in populations exposed to silica dust, as it can inform public health initiatives and workplace safety regulations aimed at reducing exposure and improving respiratory health outcomes.

Reimbursement & Billing Impact

Reimbursement may be affected by the completeness of the documentation, particularly regarding the patient's work history and the specific dust exposure. Common denials may arise from insufficient evidence linking the diagnosis to the reported exposure. It is essential to ensure that all relevant clinical information is included in the medical record to support the diagnosis and facilitate appropriate reimbursement. Coding best practices include using the most specific code available and ensuring that the documentation aligns with the coding guidelines.

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 J62.8?

J62.8 covers pneumoconiosis caused by exposure to various types of dust containing silica that do not fall under more specific categories. This includes conditions resulting from exposure to materials such as granite, sandstone, and other silica-containing substances.

When should J62.8 be used instead of related codes?

J62.8 should be used when the pneumoconiosis is specifically due to other types of dust containing silica that are not classified under more specific codes like J62.0 or J62.1. Accurate coding is essential to reflect the specific exposure history.

What documentation supports J62.8?

Documentation should include a detailed occupational history, evidence of silica exposure, clinical findings from physical examinations, imaging studies, and pulmonary function tests. This information is crucial for substantiating the diagnosis and ensuring appropriate coding.