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ICD-10 Guide
ICD-10 CodesJ70.2

J70.2

Acute drug-induced interstitial lung disorders

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

Code Description

ICD-10 J70.2 is a billable code used to indicate a diagnosis of acute drug-induced interstitial lung disorders.

Key Diagnostic Point:

Acute drug-induced interstitial lung disorders (J70.2) refer to a group of lung conditions characterized by inflammation and scarring of the lung interstitium, which can occur following exposure to certain medications. Clinically, patients may present with symptoms such as dyspnea, cough, and chest discomfort, often developing within days to weeks after drug exposure. The anatomy involved primarily includes the alveoli and interstitial spaces of the lungs, where the inflammatory process disrupts normal gas exchange. Disease progression can vary, with some patients experiencing rapid deterioration, while others may have a more insidious onset. Diagnostic considerations include a thorough patient history to identify potential drug exposures, imaging studies such as chest X-rays or CT scans to assess lung involvement, and pulmonary function tests to evaluate respiratory impairment. A lung biopsy may be necessary in some cases to confirm the diagnosis and rule out other interstitial lung diseases.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires careful assessment of drug history and clinical symptoms.
  • Treatment complexity: Management may involve corticosteroids or discontinuation of the offending agent.
  • Documentation requirements: Detailed documentation of drug exposure and clinical findings is essential.
  • Coding specificity: Requires accurate identification of the specific drug causing the condition.

Audit Risk Factors

  • Common coding errors: Misidentifying the cause of interstitial lung disease.
  • Documentation gaps: Incomplete drug history or lack of clinical correlation.
  • Billing challenges: Potential denials due to insufficient evidence of drug causation.

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

Internal 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

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Documentation Requirements

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CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Acute drug-induced interstitial lung disorders can significantly impact patient health, leading to increased morbidity and potential mortality if not promptly recognized and treated. Understanding the epidemiology of these conditions is crucial, as certain populations may be at higher risk due to polypharmacy or underlying lung disease. Quality measures should focus on timely diagnosis and management to reduce healthcare utilization and improve patient outcomes.

ICD-9 vs ICD-10

Acute drug-induced interstitial lung disorders can significantly impact patient health, leading to increased morbidity and potential mortality if not promptly recognized and treated. Understanding the epidemiology of these conditions is crucial, as certain populations may be at higher risk due to polypharmacy or underlying lung disease. Quality measures should focus on timely diagnosis and management to reduce healthcare utilization and improve patient outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include the need for clear linkage between the drug exposure and the lung condition. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for diagnostic tests. Best practices include thorough documentation of all relevant clinical findings and ensuring that the coding accurately reflects 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 J70.2?

J70.2 covers acute interstitial lung disorders induced by specific drugs, including but not limited to certain antibiotics, chemotherapeutic agents, and non-steroidal anti-inflammatory drugs (NSAIDs). Diagnostic criteria typically involve a temporal relationship between drug exposure and the onset of respiratory symptoms, along with imaging findings consistent with interstitial lung disease.

When should J70.2 be used instead of related codes?

J70.2 should be used when there is clear evidence of acute interstitial lung disease linked to a specific drug exposure, differentiating it from chronic interstitial lung diseases or other respiratory conditions that may not have a drug-related etiology.

What documentation supports J70.2?

Documentation should include a comprehensive medication history, clinical symptoms, imaging results, and any laboratory findings that support the diagnosis of drug-induced lung disease. Clear correlation between the timing of drug exposure and symptom onset is crucial.