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ICD-10 Guide
ICD-10 CodesJ67.8

J67.8

Hypersensitivity pneumonitis due to other organic dusts

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

Code Description

ICD-10 J67.8 is a billable code used to indicate a diagnosis of hypersensitivity pneumonitis due to other organic dusts.

Key Diagnostic Point:

Hypersensitivity pneumonitis due to other organic dusts is an inflammatory response in the lungs triggered by inhalation of organic dusts that are not classified under more specific categories. Clinically, patients may present with symptoms such as cough, dyspnea, and fever, often following exposure to the offending organic material. The anatomy involved primarily includes the alveoli and bronchioles, where the immune response leads to inflammation and potential fibrosis if exposure continues. Disease progression can vary; acute episodes may resolve with avoidance of the allergen, while chronic exposure can lead to irreversible lung damage and pulmonary fibrosis. Diagnostic considerations include a thorough patient history to identify exposure sources, pulmonary function tests, and imaging studies such as chest X-rays or CT scans to assess lung involvement. Serological tests may also be utilized to identify specific antibodies related to the organic dusts involved.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires detailed patient history and exposure assessment.
  • Treatment complexity: Management may involve avoidance of allergens and corticosteroids.
  • Documentation requirements: Comprehensive documentation of exposure history and clinical findings is essential.
  • Coding specificity: Requires accurate identification of the specific organic dust involved.

Audit Risk Factors

  • Common coding errors: Misclassification of hypersensitivity pneumonitis types.
  • Documentation gaps: Incomplete exposure history or clinical findings.
  • Billing challenges: Difficulty in justifying the diagnosis without 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

Allergy and Immunology

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

Hypersensitivity pneumonitis due to other organic dusts has significant clinical implications, particularly in occupational health settings. It affects a diverse population, especially those exposed to organic materials in agricultural, industrial, or residential environments. Understanding this condition is crucial for improving patient outcomes, reducing healthcare utilization, and implementing preventive measures. Epidemiologically, it highlights the importance of monitoring environmental exposures and promoting awareness among healthcare providers and patients.

ICD-9 vs ICD-10

Hypersensitivity pneumonitis due to other organic dusts has significant clinical implications, particularly in occupational health settings. It affects a diverse population, especially those exposed to organic materials in agricultural, industrial, or residential environments. Understanding this condition is crucial for improving patient outcomes, reducing healthcare utilization, and implementing preventive measures. Epidemiologically, it highlights the importance of monitoring environmental exposures and promoting awareness among healthcare providers and patients.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is clearly supported by clinical evidence. Common denials may arise from insufficient documentation or failure to demonstrate the necessity of the tests performed. Best practices include maintaining thorough records of patient interactions and ensuring that all relevant clinical findings are documented to support the diagnosis and treatment provided.

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 J67.8?

J67.8 encompasses hypersensitivity pneumonitis caused by various organic dusts not specifically categorized elsewhere, such as those from mold, animal dander, or other environmental exposures. It is essential to identify the specific organic dust involved for accurate diagnosis and management.

When should J67.8 be used instead of related codes?

J67.8 should be used when the hypersensitivity pneumonitis is due to organic dusts that do not fall under more specific categories like J67.1 or J67.2. Accurate differentiation is crucial to ensure appropriate treatment and management.

What documentation supports J67.8?

Documentation should include a detailed patient history of exposure to organic dusts, clinical symptoms, results from pulmonary function tests, and imaging studies. Any serological testing that supports the diagnosis should also be included.