2025 ICD-10-CM code J92
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Respiratory System - Other diseases of the pleura X Diseases of the respiratory system Feed
Pleural plaque; includes pleural thickening.
Medical necessity is established by the presence of pleural plaques, confirmed through imaging studies. In cases of asbestos exposure, occupational history and environmental assessment are crucial for determining medical necessity and appropriate code selection (J92.0 vs. J92.9).
Pulmonology, radiology, and potentially occupational medicine depending on the etiology.
- X Diseases of the respiratory system
- J00-J99 (Diseases of the respiratory system) > J90-J94 (Other diseases of the pleura)
In simple words: This code describes a condition where the lining around the lungs (pleura) becomes thickened, often appearing as a patch or plaque. This thickening can sometimes be caused by asbestos exposure.
J92 is an ICD-10-CM code that classifies pleural plaque, which involves the thickening of the pleural membrane surrounding the lungs.This can be caused by various factors, including asbestos exposure. The code encompasses both pleural thickening and pleural plaque.Further specification may be needed depending on the presence of asbestos (J92.0) or its absence (J92.9).
Example 1: A 60-year-old male former shipyard worker presents with shortness of breath and a cough. Chest X-ray reveals pleural plaques.Asbestos exposure is confirmed through occupational history. Code J92.0 is used., A 72-year-old female with no history of asbestos exposure undergoes a routine chest CT scan that reveals pleural plaques. No other respiratory symptoms are present. Code J92.9 is used., A 55-year-old construction worker presents with a persistent cough and chest pain. Imaging shows pleural thickening consistent with pleural plaque.His work history suggests potential asbestos exposure, but confirmation is pending further testing. Code J92 is initially assigned pending further results and clarification of asbestos exposure.
Detailed patient history including occupational and environmental exposures (especially asbestos), imaging reports (chest X-ray, CT scan), and potentially pulmonary function tests.
** The presence or absence of asbestos exposure significantly impacts the code selection between J92.0 and J92.9.Thorough documentation is essential for accurate coding and reimbursement.
- Payment Status: Active
- Specialties:Pulmonology, Radiology, Occupational Medicine
- Place of Service:Office, Hospital (Inpatient or Outpatient), Imaging Center