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ICD-10 Guide
ICD-10 CodesJ63.3

J63.3

Graphite fibrosis (of lung)

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

Code Description

ICD-10 J63.3 is a billable code used to indicate a diagnosis of graphite fibrosis (of lung).

Key Diagnostic Point:

Graphite fibrosis of the lung, classified under pneumoconiosis, is a chronic lung condition resulting from the inhalation of graphite dust. Clinically, patients may present with progressive dyspnea, chronic cough, and reduced exercise tolerance. The disease primarily affects lung parenchyma, leading to fibrotic changes that impair gas exchange. As the condition progresses, patients may develop pulmonary hypertension and cor pulmonale due to chronic hypoxia. Diagnostic considerations include a thorough occupational history, imaging studies such as chest X-rays or CT scans revealing characteristic patterns of lung fibrosis, and pulmonary function tests demonstrating restrictive lung disease. A definitive diagnosis may require a lung biopsy to assess the extent of fibrosis and rule out other interstitial lung diseases. Early recognition and management are crucial to slowing disease progression and improving quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires detailed occupational history and imaging studies.
  • Treatment complexity: Management may involve bronchodilators, corticosteroids, and pulmonary rehabilitation.
  • Documentation requirements: Comprehensive documentation of occupational exposure and clinical findings is essential.
  • Coding specificity: Requires accurate identification of the specific type of pneumoconiosis.

Audit Risk Factors

  • Common coding errors: Misclassification with other types of pneumoconiosis.
  • Documentation gaps: Incomplete occupational history or lack of imaging results.
  • Billing challenges: Potential denials due to insufficient documentation of exposure.

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 CPT Codes

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

Graphite fibrosis has significant clinical implications, particularly in populations with occupational exposure to graphite dust. It can lead to decreased lung function, increased healthcare utilization due to respiratory complications, and a decline in quality of life. Understanding the epidemiology of this condition is crucial for implementing preventive measures in at-risk populations, thereby improving overall public health outcomes.

ICD-9 vs ICD-10

Graphite fibrosis has significant clinical implications, particularly in populations with occupational exposure to graphite dust. It can lead to decreased lung function, increased healthcare utilization due to respiratory complications, and a decline in quality of life. Understanding the epidemiology of this condition is crucial for implementing preventive measures in at-risk populations, thereby improving overall public health outcomes.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is clearly linked to the patient's occupational history. Common denials may arise from insufficient documentation of exposure or lack of supporting imaging studies. Best practices include maintaining thorough records of patient encounters, ensuring that all relevant tests are documented, and providing clear rationale for the diagnosis in the medical record to support claims.

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 J63.3?

J63.3 specifically covers graphite fibrosis, a form of pneumoconiosis caused by inhaling graphite dust. It is characterized by lung fibrosis and respiratory symptoms resulting from occupational exposure.

When should J63.3 be used instead of related codes?

J63.3 should be used when there is a confirmed diagnosis of graphite fibrosis due to occupational exposure to graphite dust, differentiating it from other pneumoconiosis codes like J60 (coal worker's pneumoconiosis) or J61 (asbestosis).

What documentation supports J63.3?

Documentation should include a detailed occupational history, imaging studies showing lung fibrosis, pulmonary function test results, and any relevant biopsy findings to confirm the diagnosis.