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ICD-10 Guide
ICD-10 CodesJ66.8

J66.8

Airway disease due to other specific organic dusts

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

Code Description

ICD-10 J66.8 is a billable code used to indicate a diagnosis of airway disease due to other specific organic dusts.

Key Diagnostic Point:

Airway disease due to other specific organic dusts encompasses a range of respiratory conditions resulting from exposure to various organic dusts, such as those found in agricultural settings, woodworking, and certain industrial environments. Clinically, patients may present with symptoms such as chronic cough, wheezing, dyspnea, and chest tightness, often exacerbated by continued exposure to the offending dust. The anatomy involved primarily includes the bronchial passages and alveoli, where inflammation and obstruction can occur due to the inhalation of organic particles. Disease progression can lead to chronic bronchitis or even chronic obstructive pulmonary disease (COPD) if exposure continues over time. Diagnostic considerations include a thorough occupational history, pulmonary function tests, and imaging studies to assess lung function and rule out other conditions. A definitive diagnosis often requires a combination of clinical evaluation and laboratory tests, including specific IgE testing or bronchoalveolar lavage in some cases.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

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

Airway disease due to organic dusts significantly impacts population health, particularly among workers in high-risk industries such as agriculture and construction. The prevalence of respiratory conditions linked to organic dust exposure contributes to increased healthcare utilization, including hospitalizations and outpatient visits. Understanding these conditions is vital for implementing preventive measures and improving occupational health standards, ultimately enhancing the quality of life for affected individuals.

ICD-9 vs ICD-10

Airway disease due to organic dusts significantly impacts population health, particularly among workers in high-risk industries such as agriculture and construction. The prevalence of respiratory conditions linked to organic dust exposure contributes to increased healthcare utilization, including hospitalizations and outpatient visits. Understanding these conditions is vital for implementing preventive measures and improving occupational health standards, ultimately enhancing the quality of life for affected individuals.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the payer, but common denials can arise from insufficient documentation linking the condition to organic dust exposure. Best practices include thorough documentation of the patient's history, symptoms, and any diagnostic tests performed, ensuring that all relevant information is included in the medical record to support the claim.

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 J66.8?

J66.8 covers conditions such as organic dust toxic syndrome, extrinsic allergic alveolitis, and other respiratory diseases caused by specific organic dusts not classified elsewhere. Diagnostic criteria typically include a history of exposure to organic dust, respiratory symptoms, and supportive pulmonary function tests.

When should J66.8 be used instead of related codes?

J66.8 should be used when the airway disease is specifically linked to organic dust exposure that does not fall under other specific categories. It is essential to differentiate it from codes like J66.0, which is more specific to hypersensitivity pneumonitis.

What documentation supports J66.8?

Documentation should include a detailed occupational history, clinical symptoms, results from pulmonary function tests, and any imaging studies that support the diagnosis of airway disease due to organic dust exposure.