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ICD-10 Guide
ICD-10 CodesJ84.83

J84.83

Surfactant mutations of the lung

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

Code Description

ICD-10 J84.83 is a billable code used to indicate a diagnosis of surfactant mutations of the lung.

Key Diagnostic Point:

Surfactant mutations of the lung, classified under J84.83, refer to a group of genetic disorders that affect the production and function of surfactant proteins in the lungs. These proteins are crucial for reducing surface tension in the alveoli, preventing collapse during exhalation, and facilitating gas exchange. Clinically, patients may present with symptoms such as progressive dyspnea, cough, and hypoxemia, often leading to respiratory distress. The anatomy involved primarily includes the alveolar epithelium, where surfactant is produced by type II pneumocytes. Disease progression can vary, with some patients experiencing rapid deterioration and others showing a more chronic course. Diagnostic considerations include genetic testing for mutations in surfactant protein genes (e.g., SFTPB, SFTPC) and imaging studies like high-resolution CT scans that may reveal ground-glass opacities and reticular patterns indicative of surfactant dysfunction. Early diagnosis is critical for management, which may include supportive care, oxygen therapy, and in some cases, lung transplantation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires genetic testing and imaging for accurate diagnosis.
  • Treatment complexity: Management may involve multidisciplinary approaches including pulmonology and genetics.
  • Documentation requirements: Detailed clinical history and genetic test results are essential.
  • Coding specificity: Requires precise coding to differentiate from other interstitial lung diseases.

Audit Risk Factors

  • Common coding errors: Misclassification with other lung diseases.
  • Documentation gaps: Incomplete genetic testing results or clinical notes.
  • Billing challenges: Potential denials 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

Genetics

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

Surfactant mutations of the lung have significant clinical implications, affecting a small but critical population. These conditions can lead to severe respiratory complications, necessitating advanced medical interventions and impacting healthcare utilization patterns. Understanding the epidemiology of these mutations is essential for developing targeted therapies and improving patient outcomes, as early diagnosis and management can significantly enhance quality of life and reduce morbidity.

ICD-9 vs ICD-10

Surfactant mutations of the lung have significant clinical implications, affecting a small but critical population. These conditions can lead to severe respiratory complications, necessitating advanced medical interventions and impacting healthcare utilization patterns. Understanding the epidemiology of these mutations is essential for developing targeted therapies and improving patient outcomes, as early diagnosis and management can significantly enhance quality of life and reduce morbidity.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the payer, with some requiring pre-authorization for genetic tests. Common denials can occur if the documentation does not clearly establish the medical necessity of the tests or if the diagnosis is not well-supported. Best practices include ensuring that all clinical notes are thorough and that any imaging studies are included in the patient's medical record to substantiate 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 J84.83?

J84.83 covers conditions related to surfactant protein mutations, including surfactant protein B deficiency and surfactant protein C deficiency, which lead to interstitial lung disease and respiratory failure.

When should J84.83 be used instead of related codes?

J84.83 should be used when a patient has a confirmed diagnosis of surfactant mutation-related lung disease, particularly when genetic testing has identified specific mutations, differentiating it from other interstitial lung diseases.

What documentation supports J84.83?

Documentation should include genetic test results confirming surfactant mutations, clinical notes detailing respiratory symptoms, imaging studies showing characteristic lung patterns, and any treatment plans initiated.