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v1.0.0
ICD-10 Guide
ICD-10 CodesJ67.1

J67.1

Bagassosis

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

Code Description

ICD-10 J67.1 is a billable code used to indicate a diagnosis of bagassosis.

Key Diagnostic Point:

Bagassosis is a type of hypersensitivity pneumonitis caused by the inhalation of dust from bagasse, the fibrous residue left after sugarcane is processed. Clinically, patients may present with symptoms such as cough, dyspnea, and chest tightness, often occurring after exposure to bagasse in agricultural or industrial settings. The condition primarily affects the lung parenchyma, leading to inflammation and potential fibrosis if exposure continues. Disease progression can vary; acute symptoms may resolve with avoidance of exposure, while chronic cases can lead to irreversible lung damage. Diagnosis typically involves a thorough occupational history, clinical evaluation, and may include imaging studies such as chest X-rays or CT scans, which can reveal ground-glass opacities or reticular patterns indicative of interstitial lung disease. Pulmonary function tests may also be utilized to assess the extent of lung impairment. A definitive diagnosis often requires a combination of clinical findings, imaging, and sometimes bronchoalveolar lavage to identify specific inflammatory markers.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires occupational history and may involve multiple diagnostic tests.
  • Treatment complexity: Management may include avoidance of exposure and corticosteroids for inflammation.
  • Documentation requirements: Detailed documentation of exposure history and clinical findings is essential.
  • Coding specificity: Requires accurate coding to differentiate from other types of pneumonitis.

Audit Risk Factors

  • Common coding errors: Misclassification with other respiratory conditions.
  • Documentation gaps: Incomplete occupational exposure history.
  • Billing challenges: Potential denials if documentation does not clearly support 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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Bagassosis has significant clinical implications, particularly in populations working in agriculture and sugarcane processing. The condition can lead to chronic respiratory issues, impacting quality of life and healthcare utilization. Understanding the epidemiology of bagassosis can help in developing preventive measures and improving occupational health policies, ultimately reducing the incidence of this preventable condition.

ICD-9 vs ICD-10

Bagassosis has significant clinical implications, particularly in populations working in agriculture and sugarcane processing. The condition can lead to chronic respiratory issues, impacting quality of life and healthcare utilization. Understanding the epidemiology of bagassosis can help in developing preventive measures and improving occupational health policies, ultimately reducing the incidence of this preventable condition.

Reimbursement & Billing Impact

Reimbursement may be affected by the completeness of the documentation, including the necessity for detailed notes on the patient's history and diagnostic tests performed. Common denials may arise if the connection between exposure and symptoms is not clearly established. It is essential to follow coding best practices, ensuring that all relevant information is included in the medical record to support 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 J67.1?

J67.1 specifically covers bagassosis, a hypersensitivity pneumonitis resulting from exposure to bagasse. It is characterized by respiratory symptoms following inhalation of this organic dust.

When should J67.1 be used instead of related codes?

J67.1 should be used when there is a confirmed diagnosis of bagassosis, particularly when the patient's occupational exposure to bagasse is documented. It should not be used for other types of pneumonitis without specific exposure history.

What documentation supports J67.1?

Documentation should include a detailed occupational history, clinical symptoms, results from imaging studies, and pulmonary function tests. Evidence of exposure to bagasse and the clinical correlation of symptoms is crucial.