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ICD-10 Guide
ICD-10 CodesJ63.1

J63.1

Bauxite fibrosis (of lung)

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

Code Description

ICD-10 J63.1 is a billable code used to indicate a diagnosis of bauxite fibrosis (of lung).

Key Diagnostic Point:

Bauxite fibrosis, a form of pneumoconiosis, is characterized by lung damage resulting from the inhalation of bauxite dust, which contains aluminum oxide and silica. Clinically, patients may present with symptoms such as chronic cough, dyspnea (shortness of breath), and chest discomfort. The disease primarily affects the lung parenchyma, leading to progressive fibrosis and impaired respiratory function. Over time, exposure to bauxite dust can result in significant lung scarring, which may lead to complications such as respiratory failure or pulmonary hypertension. Diagnostic considerations include a thorough occupational history, imaging studies such as chest X-rays or CT scans to identify characteristic patterns of lung fibrosis, and pulmonary function tests to assess the extent of lung impairment. A multidisciplinary approach involving pulmonologists, occupational medicine specialists, and radiologists is often necessary for accurate diagnosis and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires occupational history and imaging studies.
  • Treatment complexity: Management may involve pulmonary rehabilitation and symptomatic treatment.
  • Documentation requirements: Detailed clinical documentation is essential to support diagnosis.
  • Coding specificity: Specific to bauxite-related lung conditions, necessitating precise coding.

Audit Risk Factors

  • Common coding errors: Misclassification with other types of pneumoconiosis.
  • 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

Bauxite fibrosis has significant clinical implications, particularly in populations exposed to bauxite mining and processing. Understanding this condition is crucial for improving occupational health standards and reducing the incidence of respiratory diseases in affected workers. Quality measures may include monitoring lung function and implementing preventive strategies to minimize exposure. Epidemiologically, the condition highlights the need for ongoing surveillance in industries where bauxite is prevalent, ensuring that health interventions are effectively targeted.

ICD-9 vs ICD-10

Bauxite fibrosis has significant clinical implications, particularly in populations exposed to bauxite mining and processing. Understanding this condition is crucial for improving occupational health standards and reducing the incidence of respiratory diseases in affected workers. Quality measures may include monitoring lung function and implementing preventive strategies to minimize exposure. Epidemiologically, the condition highlights the need for ongoing surveillance in industries where bauxite is prevalent, ensuring that health interventions are effectively targeted.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that all diagnostic tests and evaluations are well-documented. Common denials may arise from insufficient evidence of occupational exposure or incomplete clinical documentation. Best practices include maintaining thorough records of patient history, imaging results, and treatment plans to support claims and reduce the risk of audits.

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 J63.1?

J63.1 specifically covers lung fibrosis resulting from exposure to bauxite dust. It is classified under pneumoconiosis and includes conditions where lung damage is directly linked to occupational exposure to bauxite.

When should J63.1 be used instead of related codes?

J63.1 should be used when there is clear evidence of lung fibrosis due to bauxite exposure, differentiating it from other pneumoconiosis codes such as J60 (coal worker's pneumoconiosis) or J61 (asbestosis), which are linked to different exposures.

What documentation supports J63.1?

Documentation should include a detailed occupational history indicating exposure to bauxite, results from imaging studies showing lung fibrosis, and pulmonary function test results demonstrating respiratory impairment.