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ICD-10 Guide
ICD-10 CodesJ82.89

J82.89

Other pulmonary eosinophilia, not elsewhere classified

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

Code Description

ICD-10 J82.89 is a billable code used to indicate a diagnosis of other pulmonary eosinophilia, not elsewhere classified.

Key Diagnostic Point:

J82.89 refers to 'Other pulmonary eosinophilia, not elsewhere classified,' which encompasses a range of conditions characterized by an abnormal accumulation of eosinophils in the lungs. Eosinophils are a type of white blood cell that play a crucial role in the body's immune response, particularly in allergic reactions and parasitic infections. Clinically, patients may present with symptoms such as cough, wheezing, dyspnea, and chest discomfort. The underlying causes can vary widely, including allergic reactions, drug reactions, infections, and environmental exposures. The anatomy involved primarily includes the lung parenchyma and airways, where eosinophilic infiltration can lead to inflammation and damage. Disease progression may vary; some patients may experience acute symptoms, while others may develop chronic respiratory issues. Diagnostic considerations include a thorough patient history, physical examination, imaging studies such as chest X-rays or CT scans, and laboratory tests to assess eosinophil levels in blood and sputum. A definitive diagnosis often requires ruling out other conditions that may cause similar symptoms, such as asthma or infections.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differential diagnosis to rule out other eosinophilic lung diseases.
  • Treatment complexity: Management may involve corticosteroids or addressing underlying causes.
  • Documentation requirements: Detailed clinical documentation is necessary to support the diagnosis.
  • Coding specificity: Requires precise coding to differentiate from other pulmonary eosinophilia codes.

Audit Risk Factors

  • Common coding errors: Misclassification with other eosinophilic conditions.
  • Documentation gaps: Incomplete patient history or lack of eosinophil count data.
  • 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

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

The clinical significance of J82.89 lies in its association with various underlying conditions that can affect respiratory health. Understanding and accurately coding pulmonary eosinophilia can improve patient management and outcomes. Population health impact includes the need for targeted interventions in patients with eosinophilic lung diseases, which can lead to reduced healthcare utilization and improved quality measures. Epidemiologically, the prevalence of eosinophilic conditions may vary based on environmental factors and demographics, highlighting the importance of awareness and accurate diagnosis in clinical practice.

ICD-9 vs ICD-10

The clinical significance of J82.89 lies in its association with various underlying conditions that can affect respiratory health. Understanding and accurately coding pulmonary eosinophilia can improve patient management and outcomes. Population health impact includes the need for targeted interventions in patients with eosinophilic lung diseases, which can lead to reduced healthcare utilization and improved quality measures. Epidemiologically, the prevalence of eosinophilic conditions may vary based on environmental factors and demographics, highlighting the importance of awareness and accurate diagnosis in clinical practice.

Reimbursement & Billing Impact

reimbursement challenges may arise from insufficient documentation or failure to demonstrate medical necessity for treatments. It is advisable to follow best practices for coding specificity and to ensure that the diagnosis is clearly linked to the services billed. Regular audits can help identify potential areas for improvement in documentation and coding accuracy.

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 J82.89?

J82.89 covers various forms of pulmonary eosinophilia not classified elsewhere, including eosinophilic pneumonia and eosinophilic granulomatosis with polyangiitis, among others. It is essential to identify the specific etiology of eosinophilia to ensure appropriate management.

When should J82.89 be used instead of related codes?

J82.89 should be used when the pulmonary eosinophilia does not fit the criteria for more specific codes like J82.0 or J82.1. It is important to document the clinical context and any underlying conditions that may contribute to the eosinophilia.

What documentation supports J82.89?

Documentation should include a detailed clinical history, results of eosinophil counts, imaging studies, and any relevant laboratory tests. A clear explanation of the patient's symptoms and the rationale for the diagnosis is crucial.