2025 ICD-10-CM code J43.2
(Active) Effective Date: N/A Revision Date: N/A Chronic lower respiratory diseases - Emphysema Diseases of the respiratory system (J00-J99) Feed
Centrilobular emphysema is a type of emphysema affecting the central airways of the lungs.
Modifiers may be applicable depending on the circumstances of service delivery.Refer to the CMS guidelines for appropriate modifier usage.
Medical necessity for diagnosis and treatment of centrilobular emphysema is established by the presence of symptoms and objective evidence of airflow limitation and/or lung damage on imaging studies.Severity of symptoms and impact on daily activities must be documented to support the level of care provided.
Diagnosis and management of centrilobular emphysema involve obtaining a thorough patient history, performing a physical examination, and ordering appropriate diagnostic tests such as spirometry, chest X-ray, and possibly CT scan. Treatment focuses on managing symptoms, preventing exacerbations, and slowing disease progression, often involving pulmonary rehabilitation, medication, and oxygen therapy.
In simple words: Centrilobular emphysema is a lung disease where the tiny air sacs in your lungs get bigger and lose their elasticity, making it harder to breathe. This often happens due to long-term exposure to things like cigarette smoke.
Centrilobular emphysema is a chronic lung condition characterized by the abnormal enlargement of the air spaces in the respiratory bronchioles and alveoli of the lungs.This enlargement primarily affects the central portion of the lung lobules, resulting in air trapping and impaired gas exchange.It is a form of chronic obstructive pulmonary disease (COPD) and is often associated with a history of smoking or exposure to environmental irritants.Clinical presentation varies widely, from asymptomatic to severe shortness of breath and chronic cough.
Example 1: A 60-year-old male with a 40-pack-year smoking history presents with progressive shortness of breath, chronic cough, and wheezing. Spirometry reveals airflow obstruction consistent with COPD. Chest CT scan demonstrates centrilobular emphysema., A 75-year-old female with a history of emphysema experiences an acute exacerbation characterized by increased dyspnea, increased sputum production, and fever.She is hospitalized and treated with bronchodilators, antibiotics, and corticosteroids., A 55-year-old former smoker with diagnosed centrilobular emphysema is referred for pulmonary rehabilitation to improve exercise tolerance and quality of life. The program includes education, exercise training, and breathing techniques.
Detailed patient history including smoking history, occupational exposures, and family history of respiratory diseases.Results of spirometry, chest X-ray, and/or CT scan.Documentation of symptoms, such as dyspnea, cough, and sputum production.Treatment plan including medications, oxygen therapy, and pulmonary rehabilitation.
** The severity of centrilobular emphysema can range from mild to severe, and treatment approaches should be tailored accordingly.Regular monitoring and follow-up are crucial to manage the condition and prevent complications.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Pulmonology, Internal Medicine, Respiratory Therapy
- Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Skilled Nursing Facility, Home Health