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ICD-10 Guide
ICD-10 CodesJ84.843

J84.843

Alveolar capillary dysplasia with vein misalignment

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

Code Description

ICD-10 J84.843 is a billable code used to indicate a diagnosis of alveolar capillary dysplasia with vein misalignment.

Key Diagnostic Point:

Alveolar capillary dysplasia with vein misalignment (ACD) is a rare congenital lung disorder characterized by abnormal development of the alveolar capillaries and misalignment of pulmonary veins. Clinically, patients often present with severe respiratory distress shortly after birth, typically requiring immediate respiratory support. The anatomy involved includes the alveoli, which are the tiny air sacs in the lungs where gas exchange occurs, and the pulmonary veins, which transport oxygenated blood from the lungs to the heart. Disease progression can be rapid, with affected infants experiencing hypoxemia and respiratory failure due to inadequate gas exchange. Diagnosis is primarily based on clinical presentation, imaging studies such as chest X-rays or CT scans, and histological examination of lung tissue, which reveals the characteristic capillary dysplasia. Genetic testing may also be considered to identify underlying mutations associated with the condition. Early recognition and intervention are critical to improving outcomes, as the condition can lead to significant morbidity and mortality if not managed promptly.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors include misidentifying related lung conditions.
  • Documentation gaps may arise from insufficient clinical detail regarding the patient's respiratory status.
  • Billing challenges can occur due to the need for extensive documentation to justify the use of this specific code.

Specialty Focus

Medical Specialties

Pediatric 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

Neonatology

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

Alveolar capillary dysplasia with vein misalignment has significant clinical implications, particularly in neonatal populations where early diagnosis and intervention can drastically affect outcomes. The condition contributes to increased healthcare utilization due to the need for intensive respiratory support and potential long-term follow-up. Understanding the epidemiology of ACD can help healthcare providers identify at-risk populations and implement quality measures aimed at improving care for affected infants.

ICD-9 vs ICD-10

Alveolar capillary dysplasia with vein misalignment has significant clinical implications, particularly in neonatal populations where early diagnosis and intervention can drastically affect outcomes. The condition contributes to increased healthcare utilization due to the need for intensive respiratory support and potential long-term follow-up. Understanding the epidemiology of ACD can help healthcare providers identify at-risk populations and implement quality measures aimed at improving care for affected infants.

Reimbursement & Billing Impact

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 J84.843?

J84.843 specifically covers alveolar capillary dysplasia with vein misalignment, a condition that leads to significant respiratory distress in neonates due to abnormal lung development.

When should J84.843 be used instead of related codes?

J84.843 should be used when a patient presents with alveolar capillary dysplasia specifically associated with vein misalignment, differentiating it from other forms of dysplasia that do not involve vein misalignment.

What documentation supports J84.843?

Documentation should include clinical findings of respiratory distress, imaging results indicating lung abnormalities, and histopathological evidence of capillary dysplasia and vein misalignment.