2025 ICD-10-CM code J82.82
(Valid) Effective Date: N/A Diseases of the respiratory system - Other respiratory diseases principally affecting the interstitium 10 Feed
Acute eosinophilic pneumonia
Medical necessity for services related to J82.82 relies on demonstrating the acute onset of respiratory symptoms and the presence of pulmonary eosinophilia. This condition requires prompt diagnosis and treatment to prevent progression to respiratory failure.Documentation should establish the acuity of symptoms and justify the need for diagnostic tests (especially bronchoalveolar lavage) and therapies such as corticosteroids or respiratory support.Payers typically require clear documentation of the severity of symptoms and the rationale for the chosen treatment approach.
Physicians who typically manage J82.82 include pulmonologists, critical care specialists, allergists/immunologists, and hospitalists, depending on the severity and clinical setting.Responsibilities include diagnosis (often involving bronchoalveolar lavage), determining underlying causes (e.g., drug reactions, infections), prescribing corticosteroids (the primary treatment), and managing respiratory support as needed.Monitoring disease progression and resolution through pulmonary function tests and imaging is also essential.
In simple words: Acute eosinophilic pneumonia is a lung condition where a specific type of white blood cell builds up quickly in your lungs, making it hard to breathe. It comes on suddenly, unlike a similar condition called chronic eosinophilic pneumonia.
Acute eosinophilic pneumonia is a rare condition characterized by the rapid accumulation of eosinophils (a type of white blood cell) in the lungs, causing inflammation and difficulty breathing.It is distinguished from chronic eosinophilic pneumonia by its acute onset.
Example 1: A 30-year-old previously healthy male presents to the ER with acute onset shortness of breath, cough, and fever.Chest X-ray reveals bilateral infiltrates.Bronchoalveolar lavage shows marked eosinophilia.Other causes of eosinophilic pneumonia are ruled out.He is diagnosed with J82.82 and started on corticosteroids, showing rapid improvement., A 55-year-old female with a history of asthma develops worsening respiratory symptoms after starting a new medication.She presents with cough, wheezing, and shortness of breath. Bronchoalveolar lavage demonstrates eosinophilia.The new medication is suspected as the cause, discontinued, and she is diagnosed with drug-induced acute eosinophilic pneumonia (J82.82).Corticosteroid therapy leads to clinical resolution., A 25-year-old presents with acute respiratory distress syndrome (ARDS) following a recent infection. Bronchoalveolar lavage shows a marked increase in eosinophils. Infectious and other causes are excluded, and the patient receives a diagnosis of J82.82.The patient requires intensive respiratory support and corticosteroid treatment, recovering gradually over several weeks.
Documentation for J82.82 should include: 1) Detailed history including symptom onset, duration, and severity; medication history, particularly any recent drug initiations or changes; history of asthma, allergies or other relevant medical conditions; and potential exposures (e.g., environmental toxins, infections). 2) Physical exam findings, including vital signs, respiratory rate and effort, auscultation findings (e.g., wheezing, crackles). 3) Diagnostic tests and results: Chest X-ray or CT findings demonstrating pulmonary infiltrates, blood eosinophil count, and critically, bronchoalveolar lavage fluid analysis showing marked eosinophilia. 4) Exclusion of other potential causes of pulmonary eosinophilia (infections, drugs, underlying connective tissue diseases).5) Treatment details, including corticosteroid regimen and response to therapy.
- Payment Status: Active
- Specialties:Pulmonary Medicine, Critical Care Medicine, Allergy/Immunology
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Office