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ICD-10 Guide
ICD-10 CodesJ82.8

J82.8

Pulmonary eosinophilia, not elsewhere classified

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

Code Description

ICD-10 J82.8 is a used to indicate a diagnosis of pulmonary eosinophilia, not elsewhere classified.

Key Diagnostic Point:

Pulmonary eosinophilia, not elsewhere classified, refers to a group of respiratory conditions characterized by an elevated eosinophil count in the lungs, leading to inflammation and damage to lung tissue. Clinically, patients may present with symptoms such as cough, wheezing, shortness of breath, and chest pain. The anatomy involved primarily includes the alveoli and bronchi, where eosinophils accumulate due to various triggers, including infections, allergens, and certain medications. Disease progression can vary; some patients may experience acute episodes, while others may develop chronic symptoms. Diagnostic considerations include a thorough patient history, physical examination, imaging studies such as chest X-rays or CT scans, and laboratory tests to assess eosinophil levels in blood and sputum. Differential diagnoses must be considered, including asthma, allergic bronchopulmonary aspergillosis, and other forms of pulmonary infiltrates. Accurate diagnosis is crucial for effective management and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differential diagnosis and specific lab tests.
  • Treatment complexity: May involve corticosteroids and management of underlying conditions.
  • Documentation requirements: Detailed clinical notes and lab results are essential.
  • Coding specificity: Requires precise coding to differentiate from other eosinophilic conditions.

Audit Risk Factors

  • Common coding errors: Misclassification with other pulmonary conditions.
  • Documentation gaps: Incomplete patient history or lab results.
  • Billing challenges: Denials may occur if documentation does not 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

Pulmonary eosinophilia can significantly impact patient quality of life and healthcare utilization, leading to increased hospital visits and potential admissions. Understanding the epidemiology of this condition is essential for public health initiatives, as it may be associated with environmental factors and allergic responses. Quality measures focusing on early diagnosis and effective management can improve patient outcomes and reduce healthcare costs.

ICD-9 vs ICD-10

Pulmonary eosinophilia can significantly impact patient quality of life and healthcare utilization, leading to increased hospital visits and potential admissions. Understanding the epidemiology of this condition is essential for public health initiatives, as it may be associated with environmental factors and allergic responses. Quality measures focusing on early diagnosis and effective management can improve patient outcomes and reduce healthcare costs.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the payer, and common denials can occur if the documentation does not clearly establish the medical necessity of the services provided. It is advisable to follow coding best practices, including using the most specific code available and ensuring that all services billed are supported by the documentation.

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 J82.8?

J82.8 encompasses various forms of pulmonary eosinophilia that do not fit into more specific categories, including idiopathic eosinophilic pneumonia and eosinophilic granulomatosis with polyangiitis. It is essential to evaluate the patient's clinical presentation and laboratory findings to determine the underlying cause.

When should J82.8 be used instead of related codes?

J82.8 should be used when the eosinophilia is confirmed in the lungs but does not meet the criteria for more specific eosinophilic conditions. It is important to document the clinical context and any relevant diagnostic tests to justify the use of this code.

What documentation supports J82.8?

Documentation should include a detailed clinical history, physical examination findings, results of imaging studies, and laboratory tests indicating elevated eosinophil levels. Clear documentation of symptoms and treatment response is also critical.