J80-J84 — Other respiratory diseases principally affecting the interstitium
ICD-10-CM codes J80-J84 cover other respiratory diseases principally affecting the interstitium, within diseases of the respiratory system. The block holds 41 codes across 4 categories, of which 31 are billable and 10 are header codes that cannot be submitted on a claim.
Risk adjustment in J80-J84
0 codes in this block map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded. Under-coding here is money left on the table; over-coding here is what audits are for.
- HCC 280 Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders
- HCC 213 Cardio-Respiratory Failure and Shock
- HCC 278 Idiopathic Pulmonary Fibrosis and Lung Involvement in Systemic Sclerosis
What else to watch in J80-J84
- 31 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.