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2025 ICD-10-CM code J92.0

Pleural plaque with the presence of asbestos.

Follow ICD-10-CM coding guidelines for selecting the most specific code available based on the clinical documentation. If there is evidence of other pleural diseases, those should be added as additional codes, as needed.

Modifiers are not applicable to ICD-10-CM codes, including J92.0.Modifiers are used with procedural codes (CPT and HCPCS).

Medical necessity for coding J92.0 is established by the presence of pleural plaques confirmed by imaging, along with a documented history of asbestos exposure.The absence of either of these components would render the code inappropriate.

The clinical responsibility lies primarily with the pulmonologist or physician specializing in respiratory diseases.The physician's role involves obtaining a thorough patient history, performing a physical examination, interpreting imaging results (chest X-rays, CT scans), and confirming the diagnosis of pleural plaques and asbestos exposure. They will also need to advise the patient on the appropriate management strategy, considering potential future health risks.

IMPORTANT:No alternate codes are specifically indicated in this context, however, other codes may apply depending on associated symptoms or conditions.Additional codes may be necessary to capture co-morbidities or other complications. For instance, if the patient experiences dyspnea (shortness of breath) due to the pleural thickening, this would require an additional code.

In simple words: This code describes a condition called pleural plaques caused by asbestos exposure. Pleural plaques are thickened areas on the outer lining of the lungs. They usually don't cause symptoms, but they are a sign that someone has been exposed to asbestos.

J92.0, in the ICD-10-CM coding system, specifies pleural plaques in association with asbestos exposure.Pleural plaques are circumscribed fibrous thickenings on the parietal pleura, often bilateral, and a hallmark of asbestos exposure. While typically asymptomatic and not impacting lung function, they represent a significant finding indicating prior asbestos exposure.The code necessitates documentation of both the pleural plaques and confirmation of asbestos exposure through appropriate diagnostic methods.

Example 1: A 60-year-old male patient, a former asbestos insulator, presents with a persistent cough. A chest X-ray reveals bilateral pleural plaques.A medical history reveals a 30-year occupational history involving asbestos exposure. J92.0 is coded to capture the asbestos-related pleural plaques., A 75-year-old female patient, previously employed in a shipyard, undergoes a routine chest CT scan which shows multiple pleural plaques.The patient has no respiratory symptoms but confirms a history of exposure to asbestos dust in the shipyard where she worked. J92.0 is used along with additional codes (if applicable) for the imaging studies performed., A 55-year-old male patient who worked in demolition, presents for a follow-up appointment. He had a previous asbestos exposure assessment and now shows new pleural plaques on his chest X-ray.J92.0 is assigned to record the newly developed pleural plaques in connection with prior asbestos exposure.

** Always ensure thorough and accurate documentation supporting the diagnosis and linking the pleural plaques to asbestos exposure.The presence of associated symptoms or complications will require additional coding to reflect the full clinical picture.

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