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ICD-10 Guide
ICD-10 CodesJ84.84

J84.84

Other interstitial lung diseases of childhood

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

Code Description

ICD-10 J84.84 is a used to indicate a diagnosis of other interstitial lung diseases of childhood.

Key Diagnostic Point:

J84.84 refers to other interstitial lung diseases of childhood, which encompass a variety of lung conditions characterized by inflammation and scarring of the lung tissue. Clinically, children may present with symptoms such as persistent cough, dyspnea (shortness of breath), and exercise intolerance. The anatomy involved primarily includes the alveoli and interstitial spaces of the lungs, where the exchange of oxygen and carbon dioxide occurs. Disease progression can vary widely; some conditions may be acute and reversible, while others can lead to chronic respiratory failure and significant morbidity. Diagnostic considerations for J84.84 include a thorough clinical history, physical examination, imaging studies such as chest X-rays or CT scans, and pulmonary function tests. A biopsy may also be necessary to confirm the diagnosis and differentiate between various interstitial lung diseases, such as hypersensitivity pneumonitis or pulmonary fibrosis, which can present similarly in pediatric populations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires comprehensive evaluation and differential diagnosis.
  • Treatment complexity: May involve multidisciplinary approaches including pulmonology, immunology, and rehabilitation.
  • Documentation requirements: Detailed clinical documentation is essential to support the diagnosis and treatment plan.
  • Coding specificity: Requires accurate coding to differentiate from other lung conditions.

Audit Risk Factors

  • Common coding errors: Misclassification of interstitial lung diseases.
  • Documentation gaps: Incomplete clinical notes that do not support the diagnosis.
  • Billing challenges: Potential for denials if documentation does not clearly justify the medical necessity.

Specialty Focus

Medical Specialties

Pediatric 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 J84.84 lies in its potential to lead to chronic respiratory issues in affected children, impacting their quality of life and overall health. Population health impact includes the need for increased awareness and early diagnosis to prevent progression of lung disease. Quality measures may focus on timely referrals and comprehensive management strategies. Understanding the epidemiology of these conditions can help healthcare providers develop targeted interventions and improve healthcare utilization patterns.

ICD-9 vs ICD-10

The clinical significance of J84.84 lies in its potential to lead to chronic respiratory issues in affected children, impacting their quality of life and overall health. Population health impact includes the need for increased awareness and early diagnosis to prevent progression of lung disease. Quality measures may focus on timely referrals and comprehensive management strategies. Understanding the epidemiology of these conditions can help healthcare providers develop targeted interventions and improve healthcare utilization patterns.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity for thorough clinical evaluations and potential referrals to specialists. Common denials may arise from insufficient documentation or lack of medical necessity. Best practices include ensuring that all clinical findings are well-documented and that the treatment plan aligns with the diagnosis to avoid billing issues.

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 J84.84?

J84.84 covers a range of interstitial lung diseases in children, including but not limited to hypersensitivity pneumonitis, pulmonary fibrosis, and sarcoidosis. Each condition has specific diagnostic criteria that must be met for accurate coding.

When should J84.84 be used instead of related codes?

J84.84 should be used when the interstitial lung disease does not fit into more specific categories provided by other codes. It is essential to differentiate based on the clinical presentation and diagnostic findings.

What documentation supports J84.84?

Documentation should include a detailed clinical history, results from imaging studies, pulmonary function tests, and any biopsy results if performed. Clear notes on the patient's symptoms and treatment plan are also critical.