2025 ICD-10-CM code J70
Respiratory conditions due to other external agents.
No specific modifier rules are generally associated with J70 codes. However, modifiers may be applicable to procedures performed due to the respiratory condition documented with J70.
Medical necessity for the use of J70 codes must be supported by documentation demonstrating a direct causal relationship between the external agent and the respiratory condition.This includes the clinical history, physical exam findings, and diagnostic test results consistent with the diagnosed condition. The documentation should also explain the severity and impact of the condition on the patient's respiratory function.
Clinicians should document the specific external agent causing the respiratory condition and any associated symptoms, diagnostic tests performed, and treatment provided. They are also responsible for accurately assigning the appropriate subcategory code under J70 to represent the specific cause and manifestation of the condition.
- Chapter 10: Diseases of the respiratory system (J00-J99)
- J60-J70: Lung diseases due to external agents
In simple words: This code refers to lung and breathing problems caused by things outside the body, like radiation, certain medications, or other environmental substances.
This code encompasses respiratory conditions that are caused by various external agents, excluding those specifically classified elsewhere. These agents may include radiation, drugs, or other environmental factors.
Example 1: A patient develops acute interstitial pneumonitis after starting a new medication., A patient experiences chronic cough and shortness of breath following radiation therapy for lung cancer., A patient develops respiratory distress after inhaling fumes from a chemical spill.
Documentation should clearly specify the external agent responsible for the respiratory condition, including the type of exposure (e.g., radiation type and dose, medication name and dosage, or specific environmental toxin). Additionally, it must include the patient's presenting symptoms, diagnostic findings (such as imaging and pulmonary function tests), and the causal link between the external agent and the respiratory problem.
** For more detailed information, including specific subcategories under J70 (e.g., J70.0, J70.1, J70.2), refer to the iFrameAI product or updated coding manuals.Always ensure proper documentation linking the respiratory condition to the external agent.
- Payment Status: Active
- Modifier TC rule: Not applicable to diagnosis codes.
- Specialties:Pulmonology, Critical Care Medicine, Occupational Medicine, Oncology, Internal Medicine, Allergy and Immunology, Toxicology
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Emergency Room - Hospital,Home, Skilled Nursing Facility, Nursing Facility, Other Place of Service