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ICD-10 Guide
ICD-10 CodesJ63.2

J63.2

Berylliosis

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

Code Description

ICD-10 J63.2 is a billable code used to indicate a diagnosis of berylliosis.

Key Diagnostic Point:

Berylliosis is a chronic lung disease caused by exposure to beryllium, a lightweight metal used in various industries, including aerospace and electronics. Clinically, it presents with respiratory symptoms such as cough, dyspnea, and chest pain, often resembling other interstitial lung diseases. The disease primarily affects the lungs, leading to granuloma formation, which can disrupt normal lung function. The progression of berylliosis can vary; some patients may experience acute symptoms shortly after exposure, while others may develop chronic symptoms years later. Diagnostic considerations include a thorough occupational history, pulmonary function tests, imaging studies (such as chest X-rays or CT scans), and bronchoscopy with biopsy to confirm the presence of beryllium sensitization and granulomas. The disease may also be associated with systemic symptoms, including fatigue and weight loss, complicating the clinical picture. Early diagnosis and management are crucial to prevent further lung damage and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires occupational history and specialized testing.
  • Treatment complexity: May involve corticosteroids and monitoring for progression.
  • Documentation requirements: Detailed history of exposure and symptomatology needed.
  • Coding specificity: Requires accurate identification of exposure and symptoms.

Audit Risk Factors

  • Common coding errors: Misidentification of exposure type or symptoms.
  • Documentation gaps: Incomplete occupational history or lack of diagnostic tests.
  • Billing challenges: Potential denials due to insufficient evidence of exposure.

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Berylliosis has significant clinical implications, particularly in populations with occupational exposure to beryllium. The disease can lead to chronic respiratory impairment, affecting quality of life and increasing healthcare utilization due to the need for ongoing management and monitoring. Epidemiologically, understanding the prevalence of berylliosis in certain industries can inform public health initiatives aimed at reducing exposure and improving workplace safety.

ICD-9 vs ICD-10

Berylliosis has significant clinical implications, particularly in populations with occupational exposure to beryllium. The disease can lead to chronic respiratory impairment, affecting quality of life and increasing healthcare utilization due to the need for ongoing management and monitoring. Epidemiologically, understanding the prevalence of berylliosis in certain industries can inform public health initiatives aimed at reducing exposure and improving workplace safety.

Reimbursement & Billing Impact

Reimbursement may be affected by the completeness of the documentation, particularly the evidence of beryllium exposure and the clinical rationale for tests performed. Common denials can occur if the documentation does not clearly establish the link between exposure and the respiratory condition. Best practices include ensuring all diagnostic tests are well-documented and that the medical necessity for treatments is clearly articulated.

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 J63.2?

J63.2 specifically covers berylliosis, which is characterized by lung inflammation and granuloma formation due to beryllium exposure. It is important to differentiate it from other pneumoconioses and lung diseases caused by different substances.

When should J63.2 be used instead of related codes?

J63.2 should be used when there is clear evidence of beryllium exposure and associated respiratory symptoms. It is distinct from other codes for pneumoconiosis, which pertain to different causative agents.

What documentation supports J63.2?

Documentation should include a detailed occupational history, results from pulmonary function tests, imaging studies, and any biopsy results confirming granuloma formation. This evidence is critical for accurate coding and reimbursement.