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ICD-10 Guide
ICD-10 CodesJ67.6

J67.6

Maple-bark-stripper's lung

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

Code Description

ICD-10 J67.6 is a billable code used to indicate a diagnosis of maple-bark-stripper's lung.

Key Diagnostic Point:

Maple-bark-stripper's lung is a form of hypersensitivity pneumonitis, primarily affecting individuals exposed to organic dust, particularly those working with maple bark. Clinically, it presents with symptoms such as cough, dyspnea, and chest tightness, which may develop acutely or chronically depending on the duration and intensity of exposure. The condition arises from an immune response to inhaled antigens, leading to inflammation of the lung interstitium. Anatomically, the disease affects the alveoli and surrounding lung tissue, resulting in impaired gas exchange. Disease progression can lead to pulmonary fibrosis if exposure continues, causing long-term respiratory impairment. Diagnostic considerations include a thorough occupational history, clinical evaluation, imaging studies such as chest X-rays or CT scans, and pulmonary function tests to assess lung capacity and function. Serological tests may also be employed to identify specific antibodies related to the exposure. Early diagnosis and intervention are crucial to prevent irreversible lung damage.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires detailed occupational history and specific tests to confirm hypersensitivity.
  • Treatment complexity: Management may involve avoiding exposure, corticosteroids, and supportive care.
  • Documentation requirements: Comprehensive documentation of symptoms, exposure history, and diagnostic tests is essential.
  • 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 occupational history or lack of diagnostic test results.
  • 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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Maple-bark-stripper's lung, while less common, has significant clinical implications for affected individuals, particularly in occupational settings. It can lead to chronic respiratory issues and decreased quality of life if not properly managed. Understanding this condition is vital for improving population health outcomes, as it highlights the importance of workplace safety and monitoring for respiratory diseases in specific occupational groups. Epidemiologically, awareness and early intervention can reduce healthcare utilization and improve overall respiratory health in exposed populations.

ICD-9 vs ICD-10

Maple-bark-stripper's lung, while less common, has significant clinical implications for affected individuals, particularly in occupational settings. It can lead to chronic respiratory issues and decreased quality of life if not properly managed. Understanding this condition is vital for improving population health outcomes, as it highlights the importance of workplace safety and monitoring for respiratory diseases in specific occupational groups. Epidemiologically, awareness and early intervention can reduce healthcare utilization and improve overall respiratory health in exposed populations.

Reimbursement & Billing Impact

Reimbursement may be affected by the completeness of this documentation, as payers often require clear evidence linking the diagnosis to the patient's occupational history. Common denials may arise if the documentation does not sufficiently demonstrate the connection between exposure and symptoms. Best practices include maintaining thorough records and utilizing appropriate modifiers when necessary to clarify the diagnosis.

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 J67.6?

J67.6 specifically covers hypersensitivity pneumonitis due to exposure to maple bark and related organic dust. It is characterized by an immune response leading to lung inflammation and requires a detailed occupational history for diagnosis.

When should J67.6 be used instead of related codes?

J67.6 should be used when the diagnosis is specifically linked to exposure to maple bark. If the hypersensitivity pneumonitis is due to other organic materials, other specific codes should be utilized.

What documentation supports J67.6?

Documentation should include a detailed occupational history, clinical symptoms, results from imaging studies, pulmonary function tests, and any serological tests performed to confirm hypersensitivity.