Atelectasis
ICD-10 J98.11 is a billable code used to indicate a diagnosis of atelectasis.
Atelectasis refers to the partial or complete collapse of the lung or a section (lobe) of the lung, leading to reduced gas exchange and respiratory function. It can occur due to various factors, including obstruction of the airways (e.g., mucus plugs, foreign bodies), compression from outside the lung (e.g., pleural effusion, tumors), or post-surgical complications. Clinically, patients may present with symptoms such as dyspnea, cough, and decreased breath sounds on auscultation. The anatomy involved primarily includes the alveoli, bronchi, and pleura. Disease progression can vary; acute atelectasis may develop rapidly, while chronic atelectasis can lead to long-term lung dysfunction if not addressed. Diagnostic considerations include imaging studies such as chest X-rays or CT scans, which can reveal areas of lung collapse, and pulmonary function tests to assess the extent of impairment. Early identification and management are crucial to prevent complications such as pneumonia or respiratory failure.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
J98.11 specifically covers atelectasis due to various causes, including obstructive, compressive, or post-surgical factors. It does not include atelectasis due to underlying lung diseases like COPD or pneumonia, which are coded separately.
J98.11 should be used when the primary diagnosis is atelectasis, particularly when it is the main focus of treatment or when it significantly impacts the patient's respiratory status. It should not be used when the atelectasis is secondary to another primary condition.
Documentation should include clinical findings, imaging results showing lung collapse, treatment plans, and any underlying conditions contributing to the atelectasis. Clear notes on the patient's symptoms and response to treatment are also essential.