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ICD-10 Guide
ICD-10 CodesJ67

J67

Hypersensitivity pneumonitis due to organic dust

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

Code Description

ICD-10 J67 is a used to indicate a diagnosis of hypersensitivity pneumonitis due to organic dust.

Key Diagnostic Point:

Hypersensitivity pneumonitis (HP) due to organic dust is an inflammatory response in the lungs triggered by inhalation of organic materials, such as mold, bird droppings, or other allergens. Clinically, patients may present with symptoms resembling those of pneumonia, including cough, dyspnea, fever, and malaise. The condition can be acute or chronic, with acute episodes often occurring after a significant exposure to the offending antigen. Anatomically, HP primarily affects the alveoli and interstitial lung tissue, leading to inflammation and, in chronic cases, fibrosis. Disease progression can result in irreversible lung damage if exposure continues. Diagnosis typically involves a thorough patient history, identification of exposure sources, imaging studies like chest X-rays or CT scans, and pulmonary function tests. Serological tests may also be utilized to detect specific antibodies related to the offending antigens. Early recognition and avoidance of the triggering substance are crucial for management, and in some cases, corticosteroids may be prescribed to reduce inflammation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Common coding errors include misidentifying the cause of pneumonitis.
  • Documentation gaps may arise if the exposure history is not thoroughly recorded.
  • Billing challenges can occur if the relationship between exposure and symptoms is not clearly established.

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

Allergy and Immunology

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

10 codes
J67.0
Farmer's lung
J67.1
Bagassosis
J67.2
Bird fancier's lung
J67.3
Suberosis
J67.4
Maltworker's lung
J67.5
Mushroom-worker's lung
J67.6
Maple-bark-stripper's lung
J67.7
Air conditioner and humidifier lung
J67.8
Hypersensitivity pneumonitis due to other organic dusts
J67.9
Hypersensitivity pneumonitis due to unspecified organic dust

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

Hypersensitivity pneumonitis has significant clinical implications, particularly in occupational health, as it can lead to chronic respiratory issues if not addressed. The condition affects various populations, especially those in agricultural or industrial settings. Understanding and managing HP can improve patient outcomes, reduce healthcare utilization, and enhance quality measures related to respiratory health.

ICD-9 vs ICD-10

Hypersensitivity pneumonitis has significant clinical implications, particularly in occupational health, as it can lead to chronic respiratory issues if not addressed. The condition affects various populations, especially those in agricultural or industrial settings. Understanding and managing HP can improve patient outcomes, reduce healthcare utilization, and enhance quality measures related to respiratory health.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is well-supported by clinical evidence and that the treatment plan aligns with the documented condition. Common denials may arise from insufficient documentation linking the exposure to the symptoms. Best practices include maintaining thorough records of patient interactions, diagnostic tests, and treatment responses to substantiate 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 J67?

J67 covers hypersensitivity pneumonitis due to various organic dusts, including but not limited to mold spores, bird droppings, and other allergens. It is essential to identify the specific organic dust involved for accurate coding.

When should J67 be used instead of related codes?

J67 should be used when the hypersensitivity pneumonitis is specifically linked to organic dust exposure. If the cause is unknown or related to non-organic agents, alternative codes such as J68 may be more appropriate.

What documentation supports J67?

Documentation should include a detailed patient history of exposure to organic dust, clinical symptoms, diagnostic imaging results, and any pulmonary function tests performed. Clear linkage between exposure and symptoms is crucial.