J82.81: Chronic eosinophilic pneumonia
J82.81 is a billable, specific ICD-10-CM code for chronic eosinophilic pneumonia. It is valid for submission on a claim.
Check J82.81 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Eosinophilic pneumonia, NOS
Excludes2 inherited from the categories above J82.81
Not part of this code, but both may be coded when both are present.
Written on J82: Pulmonary eosinophilia, not elsewhere classified
Risk adjustment
J82.81 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 280 Chronic Obstructive Pulmonary Disease, Interstitial Lung Disorders, and Other Chronic Lung Disorders0.319 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
J82.81 is named in 9 Medicare coverage policies: 7 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A56566Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A57067Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
Alphabetic index entries that lead here
- Pneumonia›eosinophilic
- Pneumonitis›eosinophilic
- Eosinophilia›pulmonary NEC›chronic
- Pneumonia›eosinophilic›chronic
- Pneumonitis›eosinophilic›chronic
Code history
Unchanged in every release from FY2024 to FY2027.