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ICD-10 Guide
ICD-10 CodesJ67.2

J67.2

Bird fancier's lung

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

Code Description

ICD-10 J67.2 is a billable code used to indicate a diagnosis of bird fancier's lung.

Key Diagnostic Point:

Bird fancier's lung, also known as pigeon breeder's lung, is a form of hypersensitivity pneumonitis caused by inhalation of organic dust, particularly from bird droppings and feathers. Clinically, patients may present with symptoms such as cough, dyspnea, fever, and malaise, often exacerbated by exposure to birds. The condition primarily affects the alveoli and bronchioles, leading to inflammation and potential fibrosis if exposure continues. Disease progression can vary; acute episodes may resolve with avoidance of the antigen, while chronic exposure can lead to irreversible lung damage. Diagnostic considerations include a thorough patient history, physical examination, and imaging studies such as chest X-rays or CT scans, which may reveal ground-glass opacities or reticular patterns. Serological tests for specific IgG antibodies against avian antigens can also aid in diagnosis, confirming the hypersensitivity nature of the lung condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires specific exposure history and serological testing.
  • Treatment complexity: Involves avoidance of triggers and may require corticosteroids for inflammation.
  • Documentation requirements: Detailed patient history and clinical findings must be documented.
  • Coding specificity: Requires accurate coding to differentiate from other forms of pneumonitis.

Audit Risk Factors

  • Common coding errors: Misclassification with other respiratory conditions.
  • Documentation gaps: Incomplete patient history regarding bird exposure.
  • 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

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 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

Bird fancier's lung has significant clinical implications, particularly for individuals with occupational or recreational exposure to birds. It can lead to chronic respiratory issues and reduced quality of life if not managed properly. Understanding the epidemiology of this condition is crucial for public health, as it highlights the need for awareness among bird owners and breeders. Quality measures should focus on early diagnosis and management to prevent disease progression and improve healthcare utilization patterns.

ICD-9 vs ICD-10

Bird fancier's lung has significant clinical implications, particularly for individuals with occupational or recreational exposure to birds. It can lead to chronic respiratory issues and reduced quality of life if not managed properly. Understanding the epidemiology of this condition is crucial for public health, as it highlights the need for awareness among bird owners and breeders. Quality measures should focus on early diagnosis and management to prevent disease progression and improve healthcare utilization patterns.

Reimbursement & Billing Impact

Reimbursement may be affected by the completeness of the documentation, particularly regarding the patient's history with birds. Common denials can occur if the link between symptoms and bird exposure is not clearly established. Coders should ensure that all relevant clinical findings are documented and that the diagnosis is supported by appropriate imaging and lab results to facilitate successful claims processing.

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 J67.2?

J67.2 specifically covers hypersensitivity pneumonitis due to exposure to birds, particularly pigeons and other fowl. It includes acute and chronic forms of the disease resulting from inhalation of organic dust from birds.

When should J67.2 be used instead of related codes?

J67.2 should be used when the patient's hypersensitivity pneumonitis is directly linked to bird exposure. It is important to differentiate from other types of pneumonitis that may not involve avian antigens.

What documentation supports J67.2?

Documentation should include a detailed history of bird exposure, clinical symptoms, results from imaging studies, and serological tests confirming hypersensitivity to avian antigens.