2025 ICD-10-CM code J82.83
(Valid) Effective Date: N/A Diseases of the respiratory system - Other respiratory diseases principally affecting the interstitium 10 Feed
Eosinophilic asthma. This condition involves inflammation and narrowing of the airways due to eosinophils, a type of white blood cell.
Medical necessity for the diagnosis and treatment of eosinophilic asthma (J82.83) relies on demonstrating that the patient’s respiratory symptoms are caused by eosinophilic airway inflammation and that the prescribed treatments are necessary to improve their respiratory function and quality of life.This typically involves documentation of persistent or worsening asthma symptoms despite standard treatment, elevated eosinophil levels in blood or sputum, and a positive response to therapies specifically targeting eosinophilic inflammation.
Clinicians responsible for diagnosing and managing J82.83 (Eosinophilic asthma) include pulmonologists, allergists, immunologists, and respiratory therapists.Their role involves confirming the diagnosis through various tests (e.g., blood tests, spirometry, bronchoscopy), determining disease severity, prescribing and monitoring treatment plans (including medications like inhaled corticosteroids, bronchodilators, and biologics, as well as non-pharmacological approaches like pulmonary rehabilitation and allergen avoidance), educating patients about self-management strategies, and coordinating care with other healthcare professionals.
In simple words: Eosinophilic asthma is a form of asthma where a specific type of white blood cell, called eosinophils, causes inflammation in the lungs and airways, making it hard to breathe.
Eosinophilic asthma is a type of asthma characterized by the presence of a large number of eosinophils in the lungs and airways. Eosinophils are a type of white blood cell that plays a role in inflammation.In eosinophilic asthma, these cells cause inflammation and swelling in the airways, leading to asthma symptoms such as wheezing, coughing, shortness of breath, and chest tightness.
Example 1: A 35-year-old patient with a history of asthma presents with worsening symptoms despite regular use of inhaled corticosteroids.Blood tests reveal elevated eosinophil levels, and the diagnosis of eosinophilic asthma is confirmed.Treatment with a biologic medication is initiated., A 10-year-old child experiences recurrent episodes of wheezing, coughing, and shortness of breath, particularly after exercise.Allergy testing is negative, but a sputum sample shows increased eosinophils.The child is diagnosed with eosinophilic asthma, and treatment with inhaled corticosteroids and a leukotriene modifier is started., A 50-year-old patient with no prior history of asthma develops sudden onset of respiratory symptoms, including cough, wheezing, and difficulty breathing.Chest X-ray shows pulmonary infiltrates, and blood tests reveal high eosinophil counts. The patient is diagnosed with acute eosinophilic pneumonia (J82.82), which can sometimes mimic eosinophilic asthma. Further investigation reveals the cause to be a drug reaction. Treatment focuses on managing the reaction and supportive care, leading to resolution of symptoms and normalization of eosinophil counts.
Documentation for J82.83 should include:* Detailed history of the patient's respiratory symptoms, including onset, frequency, duration, and triggers.* Results of pulmonary function tests (PFTs), including spirometry and peak flow measurements.* Blood eosinophil counts and other relevant laboratory findings.* Imaging studies (chest X-ray, CT scan) if indicated.* Response to previous asthma treatments.* Documentation of medical necessity for prescribed medications or other interventions.* Any other relevant clinical information supporting the diagnosis.
** It is important to note that J82.83 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Please consult iFrameAI for the most accurate and up-to-date information on ICD-10-CM coding. As of December 2nd, 2024, this information is current, but medical coding is subject to change.
- Payment Status: Active
- Specialties:Pulmonology, Allergy & Immunology, Internal Medicine, Family Medicine, Pediatrics
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Office, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home