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ICD-10 Guide
ICD-10 CodesJ82.82

J82.82

Acute eosinophilic pneumonia

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

Code Description

ICD-10 J82.82 is a billable code used to indicate a diagnosis of acute eosinophilic pneumonia.

Key Diagnostic Point:

Acute eosinophilic pneumonia (AEP) is a rare respiratory condition characterized by the accumulation of eosinophils in the lung interstitium and alveoli, leading to inflammation and respiratory distress. Clinically, patients present with symptoms such as acute onset of dyspnea, cough, fever, and sometimes chest pain. The condition can be triggered by various factors, including drug reactions, infections, and environmental exposures. Anatomically, AEP primarily affects the lungs, where eosinophilic infiltration disrupts normal gas exchange, resulting in hypoxemia. Disease progression can vary; some patients may recover rapidly with appropriate treatment, while others may experience severe respiratory failure requiring hospitalization. Diagnostic considerations include imaging studies such as chest X-rays or CT scans, which may show bilateral infiltrates, and bronchoscopy with bronchoalveolar lavage to confirm eosinophilic predominance. A thorough patient history is essential to identify potential triggers and differentiate AEP from other forms of pneumonia and lung diseases.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misclassification with other types of pneumonia.
  • Documentation gaps may arise if the eosinophilic nature of the condition is not clearly stated.
  • Billing challenges can occur if the acute nature of the disease is not adequately documented.

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Acute eosinophilic pneumonia, while rare, can significantly impact patient health due to its acute onset and potential for severe respiratory compromise. Understanding its epidemiology is crucial, as it may be underdiagnosed in certain populations. Quality measures related to timely diagnosis and treatment can improve patient outcomes and reduce healthcare utilization, particularly in emergency settings.

ICD-9 vs ICD-10

Acute eosinophilic pneumonia, while rare, can significantly impact patient health due to its acute onset and potential for severe respiratory compromise. Understanding its epidemiology is crucial, as it may be underdiagnosed in certain populations. Quality measures related to timely diagnosis and treatment can improve patient outcomes and reduce healthcare utilization, particularly in emergency settings.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the severity of the condition and the treatment setting (inpatient vs. outpatient). Common denials may arise if the documentation does not clearly support the diagnosis or if the acute nature is not emphasized. Best practices include ensuring that all clinical notes reflect the patient's condition accurately and that any diagnostic tests performed are well-documented.

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 J82.82?

J82.82 specifically covers acute eosinophilic pneumonia, which is characterized by eosinophilic infiltration in the lungs. It is important to differentiate this from other eosinophilic lung diseases and various forms of pneumonia.

When should J82.82 be used instead of related codes?

J82.82 should be used when the patient presents with acute symptoms and diagnostic findings consistent with eosinophilic pneumonia, particularly when other pneumonia types have been ruled out.

What documentation supports J82.82?

Documentation should include clinical findings of eosinophilia, imaging results indicating lung involvement, and any relevant patient history that may suggest triggers for the acute eosinophilic response.