2025 ICD-10-CM code J82
(Valid) Effective Date: N/A Revision Date: N/A Diseases of the respiratory system - Other respiratory diseases principally affecting the interstitium 10 Feed
Pulmonary eosinophilia, not elsewhere classified.
Medical necessity is established by the clinical presentation and diagnostic workup pointing to pulmonary eosinophilia, and the exclusion of other conditions mimicking or causing this presentation.
Diagnosis and treatment of pulmonary eosinophilia fall under the purview of pulmonologists, allergists, and immunologists, depending on the suspected underlying cause.They are responsible for ordering appropriate diagnostic tests, interpreting results, and formulating a treatment plan. This may involve consultations with other specialists, such as infectious disease specialists or rheumatologists, when necessary.
In simple words: A condition characterized by the accumulation of a type of white blood cell called eosinophils in the lungs, where the cause isn't classified elsewhere.
Pulmonary eosinophilia, not elsewhere classified. Excludes2: pulmonary eosinophilia due to aspergillosis (B44.-) pulmonary eosinophilia due to drugs (J70.2-J70.4) pulmonary eosinophilia due to specified parasitic infection (B50-B83) pulmonary eosinophilia due to systemic connective tissue disorders (M30-M36) pulmonary infiltrate NOS (R91.8)
Example 1: A patient presents with cough, shortness of breath, and fever.Blood tests reveal elevated eosinophils.A chest X-ray shows patchy infiltrates.After ruling out infections, drug reactions, and connective tissue disorders, the physician diagnoses the patient with pulmonary eosinophilia, not elsewhere classified (J82)., A patient with a known history of asthma experiences worsening symptoms.Blood work shows eosinophilia.The physician suspects allergic bronchopulmonary aspergillosis (ABPA) but further tests rule it out. The asthma exacerbation associated with eosinophilia is coded using the appropriate asthma code with J82 as a secondary diagnosis., During a routine physical, a patient reports mild shortness of breath. Imaging reveals small, bilateral pulmonary nodules. Biopsy and cultures rule out infection and malignancy.Blood work reveals elevated eosinophils, leading to a diagnosis of pulmonary eosinophilia, not elsewhere classified (J82), as the cause of the nodules.
Documentation should include evidence of eosinophilia (blood test, bronchoalveolar lavage), imaging findings, pulmonary function tests (if performed), and details of the clinical presentation (signs, symptoms).Importantly, documentation must also show that other causes of pulmonary eosinophilia have been ruled out.
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- Specialties:Pulmonology, Allergy and Immunology, Internal Medicine
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Independent Clinic, Federally Qualified Health Center