2025 ICD-10-CM code J84.116
(Active) Effective Date: N/A Diseases of the respiratory system - Other respiratory diseases principally affecting the interstitium 10 Feed
Cryptogenic organizing pneumonia (COP), formerly known as bronchiolitis obliterans organizing pneumonia (BOOP), is a rare lung condition characterized by inflammation and scarring in the bronchioles and alveoli.It is distinct from typical pneumonia as it is not infectious.
Medical necessity for treatment of COP stems from the potential for progressive respiratory impairment if left untreated.Documentation should demonstrate the severity of symptoms, impact on lung function, and failure to respond to standard pneumonia treatments.Justification for treatments, like corticosteroids, should be based on established guidelines and the patient's specific condition. For secondary organizing pneumonia, the link between the underlying condition and the lung pathology should be established.
Pulmonologists are primarily responsible for the diagnosis and management of COP.They conduct thorough examinations, interpret diagnostic tests (including blood tests, imaging, and lung biopsies if necessary), prescribe appropriate treatments, primarily corticosteroids, and monitor the patient's response to therapy.In severe cases requiring surgical intervention, thoracic surgeons may be involved. Supportive care from respiratory therapists and other healthcare professionals may also be beneficial.
In simple words: COP is a rare lung condition where scar tissue forms in the small airways and air sacs of your lungs, making it hard to breathe.It's not contagious like regular pneumonia.Symptoms are similar to the flu, including cough, fever, and shortness of breath, but it doesn't get better with antibiotics. Steroids are usually effective for treatment.
Cryptogenic organizing pneumonia (COP) is a rare idiopathic interstitial lung disease characterized by the formation of granulation tissue within the alveoli and bronchioles. This obstruction can lead to respiratory issues like cough, shortness of breath, and fever.While the exact cause is unknown, it's believed to be a consequence of alveolar injury possibly triggered by various factors, but not smoking. COP is diagnosed after excluding other potential causes and typically affects individuals in their fifties or sixties. Though often mistaken for bacterial pneumonia initially, COP doesn't respond to antibiotics.A distinct subtype, fibrosing COP, involves fibrosis and carries a poorer prognosis.
Example 1: A 55-year-old non-smoker presents with persistent dry cough, shortness of breath, and low-grade fever for several weeks.Initial treatment with antibiotics for suspected pneumonia shows no improvement. Further investigation with a chest CT and lung biopsy confirms the diagnosis of COP. Treatment with oral corticosteroids is initiated., A 60-year-old patient with a history of rheumatoid arthritis develops increasing shortness of breath and cough.Imaging reveals findings consistent with organizing pneumonia.Given the underlying connective tissue disease, the diagnosis of organizing pneumonia secondary to rheumatoid arthritis is made, and treatment with corticosteroids is started., A patient undergoes bone marrow transplantation and subsequently develops respiratory symptoms.A lung biopsy reveals organizing pneumonia as a complication of the transplant.Treatment is tailored to the patient's specific situation, balancing the need for immunosuppression with the risk of infection.
Thorough documentation of the patient's medical history, presenting symptoms (cough, shortness of breath, fever, malaise), physical exam findings, and results of diagnostic tests (chest x-ray, high-resolution CT scan, pulmonary function tests, and lung biopsy if performed). Response to treatment should also be documented.If organizing pneumonia is secondary to another condition, that underlying condition should be clearly documented as well.
- Specialties:Pulmonology, Thoracic Surgery, Rheumatology (if associated with a connective tissue disease), Critical Care Medicine (for severe cases)
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office, Independent Clinic