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ICD-10 Guide
ICD-10 CodesJ67.9

J67.9

Hypersensitivity pneumonitis due to unspecified organic dust

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

Code Description

ICD-10 J67.9 is a billable code used to indicate a diagnosis of hypersensitivity pneumonitis due to unspecified organic dust.

Key Diagnostic Point:

Hypersensitivity pneumonitis (HP) due to unspecified organic dust is an inflammatory response in the lungs triggered by inhalation of organic dust, which can include mold, bacteria, or animal proteins. Clinically, patients may present with symptoms such as cough, dyspnea, fever, and malaise, often following exposure to the offending agent. The condition primarily affects the alveoli and bronchioles, leading to inflammation and, in chronic cases, fibrosis. Disease progression can vary; acute HP may resolve with avoidance of the trigger, while chronic HP can lead to irreversible lung damage. Diagnostic considerations include a thorough patient history, pulmonary function tests, imaging studies such as chest X-rays or CT scans, and sometimes bronchoalveolar lavage to identify specific antibodies or inflammatory markers. The absence of a specified organic dust source necessitates the use of J67.9, emphasizing the need for careful clinical evaluation to ascertain the underlying cause of the hypersensitivity reaction.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough patient history and possibly advanced imaging.
  • Treatment complexity: Management involves environmental control and may require corticosteroids.
  • Documentation requirements: Detailed clinical notes and exposure history are essential.
  • Coding specificity: Unspecified nature of the organic dust adds complexity.

Audit Risk Factors

  • Common coding errors: Misclassification with other respiratory conditions.
  • Documentation gaps: Incomplete exposure history or symptom description.
  • Billing challenges: Potential denials due to lack of specificity.

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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Hypersensitivity pneumonitis significantly impacts population health, particularly among individuals exposed to organic dust in occupational settings. Understanding and diagnosing this condition can improve patient outcomes and reduce healthcare utilization. Quality measures related to respiratory health emphasize the importance of accurate diagnosis and management of lung conditions like HP, which can lead to chronic respiratory issues if left untreated.

ICD-9 vs ICD-10

Hypersensitivity pneumonitis significantly impacts population health, particularly among individuals exposed to organic dust in occupational settings. Understanding and diagnosing this condition can improve patient outcomes and reduce healthcare utilization. Quality measures related to respiratory health emphasize the importance of accurate diagnosis and management of lung conditions like HP, which can lead to chronic respiratory issues if left untreated.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the payer and the specificity of the diagnosis. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity. Coders should ensure that all relevant clinical information is captured to support the diagnosis and facilitate appropriate reimbursement.

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 J67.9?

J67.9 covers hypersensitivity pneumonitis due to unspecified organic dust, which may include various allergens such as mold, animal dander, or other organic materials that provoke an immune response in the lungs.

When should J67.9 be used instead of related codes?

J67.9 should be used when the specific organic dust causing hypersensitivity is unknown or not documented. If the specific agent is identified, a more specific code should be utilized.

What documentation supports J67.9?

Documentation should include a detailed patient history of exposure to organic dust, clinical symptoms, results from pulmonary function tests, and any imaging studies that support the diagnosis of hypersensitivity pneumonitis.