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v1.0.0
ICD-10 Guide
ICD-10 CodesJ98.19

J98.19

Other pulmonary collapse

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

Code Description

ICD-10 J98.19 is a billable code used to indicate a diagnosis of other pulmonary collapse.

Key Diagnostic Point:

J98.19 refers to 'Other pulmonary collapse,' which encompasses various conditions leading to the collapse of lung tissue not classified elsewhere. This can include conditions such as atelectasis, which occurs when alveoli become deflated or filled with fluid, leading to reduced gas exchange and respiratory distress. The anatomy involved primarily includes the lungs, specifically the alveolar structures and bronchi. Disease progression can vary; in acute cases, symptoms may develop rapidly, including shortness of breath, chest pain, and hypoxemia. Chronic cases may present with recurrent respiratory infections or persistent cough. Diagnostic considerations include imaging studies such as chest X-rays or CT scans, which can reveal areas of collapsed lung tissue. Additionally, pulmonary function tests may be utilized to assess the impact on respiratory function. Understanding the underlying cause, whether it be obstructive (e.g., foreign body aspiration) or compressive (e.g., pleural effusion), is crucial for effective management.

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

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

Emergency Medicine

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 J98.19 lies in its association with various respiratory conditions that can lead to significant morbidity if not addressed promptly. Population health impact includes increased healthcare utilization due to emergency visits and hospital admissions for respiratory distress. Quality measures may focus on timely interventions to prevent complications associated with pulmonary collapse. Understanding epidemiological trends can help healthcare providers identify at-risk populations and implement preventive strategies.

ICD-9 vs ICD-10

The clinical significance of J98.19 lies in its association with various respiratory conditions that can lead to significant morbidity if not addressed promptly. Population health impact includes increased healthcare utilization due to emergency visits and hospital admissions for respiratory distress. Quality measures may focus on timely interventions to prevent complications associated with pulmonary collapse. Understanding epidemiological trends can help healthcare providers identify at-risk populations and implement preventive strategies.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the payer, but thorough documentation can help mitigate common denials. It is advisable to include all relevant codes that reflect the patient's condition and any associated procedures. Best practices include maintaining clear and concise notes that correlate with the diagnosis and treatment provided, as well as ensuring that all claims are submitted with the correct modifiers when necessary.

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 J98.19?

J98.19 covers conditions such as atelectasis, pulmonary edema, and other forms of lung collapse not specified elsewhere. It is essential to document the specific underlying cause to support the use of this code.

When should J98.19 be used instead of related codes?

J98.19 should be used when the pulmonary collapse does not fit the criteria for more specific codes like J98.11 or J98.12. It is important to ensure that the documentation clearly indicates the nature of the collapse.

What documentation supports J98.19?

Documentation should include clinical findings, imaging results, and any relevant history that supports the diagnosis of pulmonary collapse. Detailed notes on the patient's symptoms and the clinical rationale for the diagnosis are also necessary.