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v1.0.0
ICD-10 Guide
ICD-10 CodesJ67.0

J67.0

Farmer's lung

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

Code Description

ICD-10 J67.0 is a billable code used to indicate a diagnosis of farmer's lung.

Key Diagnostic Point:

Farmer's lung is a type of hypersensitivity pneumonitis caused by the inhalation of organic dust, particularly moldy hay or grain, which leads to an immune response in the lungs. Clinically, patients may present with symptoms such as cough, dyspnea, fever, and malaise, often following exposure to the offending antigen. The disease primarily affects the alveoli and interstitial lung tissue, leading to inflammation and, in chronic cases, fibrosis. Disease progression can vary; acute episodes may resolve with avoidance of exposure, while chronic exposure can lead to irreversible lung damage. Diagnostic considerations include a thorough patient history, identification of exposure sources, and imaging studies such as chest X-rays or CT scans, which may show ground-glass opacities or reticular patterns. Serological tests for specific IgG antibodies against the offending antigens can further support the diagnosis. Early recognition and intervention are crucial to prevent long-term complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires detailed patient history and specific serological testing.
  • Treatment complexity: Management often involves environmental changes and may require corticosteroids for severe cases.
  • Documentation requirements: Comprehensive documentation of exposure history and clinical findings is essential.
  • Coding specificity: Accurate coding necessitates differentiation from other types of pneumonitis.

Audit Risk Factors

  • Common coding errors: Misclassification with other respiratory conditions.
  • Documentation gaps: Incomplete exposure history or lack of serological evidence.
  • Billing challenges: Potential denials due to insufficient documentation supporting 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 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

Farmer's lung significantly impacts population health, particularly among agricultural workers, leading to increased healthcare utilization due to respiratory symptoms and potential long-term lung damage. Quality measures focus on early diagnosis and management to prevent chronic respiratory issues. Epidemiologically, awareness of this condition is crucial for preventive strategies in occupational health, as it highlights the need for protective measures in farming environments.

ICD-9 vs ICD-10

Farmer's lung significantly impacts population health, particularly among agricultural workers, leading to increased healthcare utilization due to respiratory symptoms and potential long-term lung damage. Quality measures focus on early diagnosis and management to prevent chronic respiratory issues. Epidemiologically, awareness of this condition is crucial for preventive strategies in occupational health, as it highlights the need for protective measures in farming environments.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the diagnosis is well-supported by clinical evidence and that all relevant tests are documented. Common denials may arise from insufficient documentation or misclassification of the condition. It is essential to follow coding best practices, including using the most specific code available and providing detailed notes in the medical record to justify the diagnosis and treatment provided.

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 J67.0?

J67.0 specifically covers Farmer's lung, a form of hypersensitivity pneumonitis due to organic dust exposure, particularly in agricultural settings. It is characterized by an immune response leading to lung inflammation.

When should J67.0 be used instead of related codes?

J67.0 should be used when the diagnosis is specifically Farmer's lung due to exposure to moldy hay or grain. It is differentiated from other hypersensitivity pneumonitis codes by the specific exposure history.

What documentation supports J67.0?

Documentation should include a detailed occupational history, evidence of exposure to moldy organic material, clinical symptoms, imaging results, and serological test results indicating hypersensitivity.