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v1.0.0
ICD-10 Guide
ICD-10 CodesB48.0

B48.0

Aspergillosis of lung

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 B48.0 is a billable code used to indicate a diagnosis of aspergillosis of lung.

Key Diagnostic Point:

Aspergillosis of the lung is a fungal infection caused by the Aspergillus species, primarily Aspergillus fumigatus. This condition can manifest in various forms, including allergic bronchopulmonary aspergillosis (ABPA), chronic pulmonary aspergillosis, and invasive aspergillosis. Patients with compromised immune systems, such as those with HIV/AIDS, cancer, or those undergoing immunosuppressive therapy, are particularly susceptible to this infection. Symptoms may include cough, hemoptysis, fever, and chest pain. Diagnosis typically involves imaging studies such as chest X-rays or CT scans, along with microbiological cultures or serological tests. Treatment often includes antifungal medications such as voriconazole or amphotericin B, and in some cases, surgical intervention may be necessary to remove infected tissue. The management of aspergillosis requires careful consideration of the patient's immune status and the specific type of aspergillosis present.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of aspergillosis (e.g., invasive vs. chronic)
  • Need for detailed patient history regarding immunocompromised status
  • Variability in clinical presentation and diagnostic criteria
  • Potential for co-infections or other respiratory conditions

Audit Risk Factors

  • Inadequate documentation of immunocompromised status
  • Failure to specify the type of aspergillosis
  • Lack of supporting diagnostic tests in the medical record
  • Inconsistent treatment documentation

Specialty Focus

Medical Specialties

Pulmonology

Documentation Requirements

Detailed pulmonary function tests and imaging studies must be documented.

Common Clinical Scenarios

Patients presenting with chronic cough, hemoptysis, or recurrent pneumonia.

Billing Considerations

Consideration of underlying lung diseases such as COPD or asthma.

Infectious Disease

Documentation Requirements

Comprehensive history of immunosuppression and previous infections.

Common Clinical Scenarios

Patients with a history of organ transplantation or chemotherapy presenting with respiratory symptoms.

Billing Considerations

Need for thorough documentation of antifungal therapy and response.

Coding Guidelines

Inclusion Criteria

Use B48.0 When
  • Follow official ICD
  • CM guidelines for coding fungal infections
  • Ensure accurate documentation of the type of aspergillosis and the patient's immune status
  • Include any relevant laboratory results and imaging studies

Exclusion Criteria

Do NOT use B48.0 When
No specific exclusions found.

Related CPT Codes

J8498CPT Code

Voriconazole, oral

Clinical Scenario

Used for treating invasive aspergillosis.

Documentation Requirements

Document the indication for use and patient response.

Specialty Considerations

Pulmonology and Infectious Disease specialists should ensure thorough documentation of treatment plans.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of aspergillosis, improving the accuracy of data collection and reimbursement processes. It has also enhanced the ability to track epidemiological trends in fungal infections.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of aspergillosis, improving the accuracy of data collection and reimbursement processes. It has also enhanced the ability to track epidemiological trends in fungal infections.

Reimbursement & Billing Impact

reimbursement processes. It has also enhanced the ability to track epidemiological trends in fungal infections.

Resources

Clinical References

  • •
    CDC Aspergillosis Information

Coding & Billing References

  • •
    CDC Aspergillosis Information

Frequently Asked Questions

What are the common symptoms of aspergillosis of the lung?

Common symptoms include cough, hemoptysis, fever, chest pain, and difficulty breathing. Symptoms may vary based on the type of aspergillosis.