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ICD-10 Guide
ICD-10 CodesJ62

J62

Pneumoconiosis due to dust containing silica

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

Code Description

ICD-10 J62 is a used to indicate a diagnosis of pneumoconiosis due to dust containing silica.

Key Diagnostic Point:

Pneumoconiosis due to dust containing silica is a chronic lung disease caused by the inhalation of silica dust, commonly found in occupations such as mining, construction, and sandblasting. Clinically, patients may present with symptoms such as cough, dyspnea, and chest pain, which can progress to more severe respiratory issues, including pulmonary fibrosis and silicosis. The anatomy involved primarily includes the lung parenchyma, where silica particles cause inflammation and scarring, leading to impaired gas exchange. Disease progression can vary, with some individuals developing significant respiratory impairment over years of exposure, while others may remain asymptomatic for extended periods. Diagnostic considerations include a thorough occupational history, imaging studies such as chest X-rays or CT scans, and pulmonary function tests to assess lung capacity and function. The presence of nodular opacities on imaging is characteristic of silicosis, aiding in diagnosis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires occupational history and imaging
  • Treatment complexity: Management may involve pulmonary rehabilitation and symptomatic treatment
  • Documentation requirements: Detailed occupational exposure history and clinical findings needed
  • Coding specificity: Requires differentiation from other pneumoconioses

Audit Risk Factors

  • Common coding errors: Misclassification with other pneumoconioses
  • Documentation gaps: Lack of detailed occupational history
  • Billing challenges: Potential denials if documentation does not 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

Occupational Medicine

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 Codes

Child Codes

2 codes
J62.0
Pneumoconiosis due to talc dust
J62.8
Pneumoconiosis due to other dust containing silica

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Pneumoconiosis due to silica dust has significant clinical implications, contributing to chronic respiratory diseases and impacting population health, particularly among workers in high-risk industries. Quality measures focus on early detection and management of respiratory conditions related to occupational exposure, which can improve healthcare utilization patterns. Epidemiologically, the prevalence of silicosis remains a concern, highlighting the need for preventive measures and monitoring in affected populations.

ICD-9 vs ICD-10

Pneumoconiosis due to silica dust has significant clinical implications, contributing to chronic respiratory diseases and impacting population health, particularly among workers in high-risk industries. Quality measures focus on early detection and management of respiratory conditions related to occupational exposure, which can improve healthcare utilization patterns. Epidemiologically, the prevalence of silicosis remains a concern, highlighting the need for preventive measures and monitoring in affected populations.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of demonstrating the link between silica exposure and respiratory symptoms. Common denials may arise from insufficient documentation or failure to establish the connection between the diagnosis and the patient's occupational exposure. Best practices include thorough documentation of all relevant clinical and occupational details, ensuring that the coding accurately reflects the patient's condition.

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 J62?

J62 covers pneumoconiosis specifically due to inhalation of silica dust, including conditions like silicosis and chronic obstructive pulmonary disease (COPD) resulting from silica exposure.

When should J62 be used instead of related codes?

J62 should be used when there is clear evidence of silica exposure and associated lung disease, differentiating it from other pneumoconiosis codes like J61 or J63, which pertain to asbestos or other dusts.

What documentation supports J62?

Documentation should include a detailed occupational history, imaging results showing characteristic lung changes, and pulmonary function test results indicating impairment.