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ICD-10 Guide
ICD-10 CodesJ63.5

J63.5

Stannosis

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

Code Description

ICD-10 J63.5 is a billable code used to indicate a diagnosis of stannosis.

Key Diagnostic Point:

Stannosis, also known as tin lung, is a form of pneumoconiosis caused by the inhalation of tin dust or fumes. Clinically, it presents with respiratory symptoms such as chronic cough, dyspnea, and chest pain, which may progress over time as lung function deteriorates. The disease primarily affects the lung parenchyma, leading to inflammation and fibrosis, which can impair gas exchange. The progression of stannosis can vary based on the duration and intensity of exposure to tin, with chronic exposure resulting in more severe lung damage. Diagnostic considerations include a thorough occupational history, pulmonary function tests, and imaging studies such as chest X-rays or CT scans, which may reveal characteristic patterns of lung fibrosis. A definitive diagnosis often requires a combination of clinical evaluation and radiological findings, alongside exclusion of other respiratory conditions.

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 documentation of exposure history and clinical findings
  • Coding specificity: Specific to tin exposure, differentiating from other pneumoconioses

Audit Risk Factors

  • Common coding errors: Misclassification with other pneumoconiosis codes
  • Documentation gaps: Incomplete occupational history or exposure details
  • Billing challenges: Potential denials if exposure is not well-documented

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Stannosis has significant clinical implications, particularly in occupational health, as it affects workers exposed to tin in various industries. Understanding the epidemiology of stannosis can help in developing preventive measures and improving workplace safety. Quality measures related to respiratory health can be influenced by the management of stannosis, impacting healthcare utilization patterns as affected individuals may require ongoing monitoring and treatment.

ICD-9 vs ICD-10

Stannosis has significant clinical implications, particularly in occupational health, as it affects workers exposed to tin in various industries. Understanding the epidemiology of stannosis can help in developing preventive measures and improving workplace safety. Quality measures related to respiratory health can be influenced by the management of stannosis, impacting healthcare utilization patterns as affected individuals may require ongoing monitoring and treatment.

Reimbursement & Billing Impact

Reimbursement may be affected by the completeness of this documentation. Common denials can occur if the link between exposure and diagnosis is not clearly established. Coders should ensure that all relevant clinical information is included in the medical record to support the diagnosis and facilitate appropriate billing.

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 J63.5?

J63.5 specifically covers stannosis, which is caused by the inhalation of tin dust or fumes. It is characterized by lung inflammation and fibrosis resulting from chronic exposure to tin.

When should J63.5 be used instead of related codes?

J63.5 should be used when there is a confirmed diagnosis of stannosis due to tin exposure, differentiating it from other pneumoconioses like asbestosis or silicosis, which have different causative agents.

What documentation supports J63.5?

Documentation should include a detailed occupational history indicating exposure to tin, clinical symptoms, results from pulmonary function tests, and imaging studies that support the diagnosis of stannosis.