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ICD-10 Guide
ICD-10 CodesJ84.848

J84.848

Other interstitial lung diseases of childhood

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

Code Description

ICD-10 J84.848 is a billable code used to indicate a diagnosis of other interstitial lung diseases of childhood.

Key Diagnostic Point:

J84.848 refers to other interstitial lung diseases of childhood, which encompass a variety of pulmonary conditions characterized by inflammation and scarring of the lung interstitium. Clinically, children may present with symptoms such as persistent cough, wheezing, shortness of breath, and exercise intolerance. The anatomy involved includes the alveoli and surrounding connective tissue, which can become thickened or damaged due to various etiologies, including environmental exposures, infections, or genetic factors. Disease progression can vary widely; some conditions may be acute and reversible, while others can lead to chronic respiratory failure and require long-term management. Diagnostic considerations include a thorough clinical history, physical examination, imaging studies such as chest X-rays or CT scans, and pulmonary function tests. In some cases, lung biopsy may be necessary to confirm the diagnosis and rule out other conditions. Early identification and management are crucial to improving outcomes in affected children.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

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

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

The clinical significance of J84.848 lies in its potential to affect a child's respiratory health and overall quality of life. Early diagnosis and appropriate management can significantly improve outcomes and reduce healthcare utilization. Understanding the epidemiology of interstitial lung diseases in children is crucial for developing effective public health strategies and quality measures aimed at improving respiratory health in this vulnerable population.

ICD-9 vs ICD-10

The clinical significance of J84.848 lies in its potential to affect a child's respiratory health and overall quality of life. Early diagnosis and appropriate management can significantly improve outcomes and reduce healthcare utilization. Understanding the epidemiology of interstitial lung diseases in children is crucial for developing effective public health strategies and quality measures aimed at improving respiratory health in this vulnerable population.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the medical necessity for tests and treatments is clearly documented. Common denials may arise from insufficient documentation or failure to demonstrate the medical necessity of the services rendered. Coders should ensure that all relevant clinical information is included in the patient’s record to support the claim and reduce the risk of audits.

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 J84.848?

J84.848 encompasses a range of interstitial lung diseases in children, including but not limited to hypersensitivity pneumonitis, sarcoidosis, and pulmonary alveolar proteinosis. Each condition has specific diagnostic criteria based on clinical, radiological, and histopathological findings.

When should J84.848 be used instead of related codes?

J84.848 should be used when a child presents with interstitial lung disease that does not fit the criteria for more specific codes like J84.1 or J84.9. It is essential to document the clinical rationale for selecting this code, ensuring that the specific interstitial lung disease is accurately captured.

What documentation supports J84.848?

Documentation for J84.848 should include a detailed clinical history, results from imaging studies, pulmonary function tests, and any relevant laboratory findings. A clear narrative explaining the diagnosis and treatment plan is also critical to support the use of this code.