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ICD-10 Guide
ICD-10 CodesJ82.81

J82.81

Chronic eosinophilic pneumonia

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

Code Description

ICD-10 J82.81 is a billable code used to indicate a diagnosis of chronic eosinophilic pneumonia.

Key Diagnostic Point:

Chronic eosinophilic pneumonia (CEP) is a rare respiratory condition characterized by the accumulation of eosinophils in the lungs, leading to inflammation and damage to lung tissue. Clinically, patients often present with symptoms such as persistent cough, dyspnea, fever, and weight loss. The condition primarily affects the lower respiratory tract, particularly the alveoli, where eosinophilic infiltration occurs. Disease progression can vary; some patients may experience acute exacerbations, while others may have a more insidious onset. Diagnostic considerations include a thorough clinical history, imaging studies such as chest X-rays or CT scans showing bilateral infiltrates, and laboratory tests revealing elevated eosinophil counts in peripheral blood. A bronchoscopy with bronchoalveolar lavage may also be performed to confirm the diagnosis and rule out other conditions. Treatment typically involves corticosteroids to reduce inflammation and manage symptoms, with close monitoring for potential side effects. Long-term management may be necessary for chronic cases, emphasizing the importance of ongoing follow-up and patient education.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires specific laboratory tests and imaging studies for accurate diagnosis.
  • Treatment complexity: Involves long-term management with potential side effects from corticosteroids.
  • Documentation requirements: Detailed clinical notes and lab results are essential for proper coding.
  • Coding specificity: Requires precise coding to differentiate from other eosinophilic lung diseases.

Audit Risk Factors

  • Common coding errors: Misclassification with other respiratory conditions.
  • Documentation gaps: Incomplete clinical notes or missing lab results.
  • Billing challenges: Potential denials due to lack of clear evidence supporting 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

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Chronic eosinophilic pneumonia has significant clinical implications, particularly in populations with underlying respiratory conditions. It can lead to increased healthcare utilization due to frequent exacerbations and the need for ongoing management. Understanding the epidemiology of CEP is crucial for public health, as it may be underdiagnosed in certain demographics. Quality measures focusing on timely diagnosis and effective management can improve patient outcomes and reduce the burden on healthcare systems.

ICD-9 vs ICD-10

Chronic eosinophilic pneumonia has significant clinical implications, particularly in populations with underlying respiratory conditions. It can lead to increased healthcare utilization due to frequent exacerbations and the need for ongoing management. Understanding the epidemiology of CEP is crucial for public health, as it may be underdiagnosed in certain demographics. Quality measures focusing on timely diagnosis and effective management can improve patient outcomes and reduce the burden on healthcare systems.

Reimbursement & Billing Impact

Reimbursement considerations include the potential for denials if documentation does not clearly justify the medical necessity of the services provided. Common denials may arise from insufficient evidence of the diagnosis or lack of detailed treatment plans. Best practices include regular audits of documentation and coding accuracy to minimize billing challenges and ensure compliance with payer requirements.

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 J82.81?

J82.81 specifically covers chronic eosinophilic pneumonia, which is characterized by eosinophilic infiltration in the lungs leading to respiratory symptoms. It is distinct from acute eosinophilic pneumonia and other eosinophilic lung diseases.

When should J82.81 be used instead of related codes?

J82.81 should be used when a patient has a confirmed diagnosis of chronic eosinophilic pneumonia, particularly when eosinophilia is documented and other causes of respiratory symptoms have been ruled out.

What documentation supports J82.81?

Documentation should include clinical findings, imaging results showing lung infiltrates, laboratory tests indicating elevated eosinophil counts, and treatment plans. A comprehensive clinical history is also essential.