J84.09: Other alveolar and parieto-alveolar conditions
J84.09 is a billable, specific ICD-10-CM code for other alveolar and parieto-alveolar conditions. It is valid for submission on a claim.
Check J84.09 with the rest of the claim: free scrubberExcludes1 inherited from the categories above J84.09
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above J84.09
Not part of this code, but both may be coded when both are present.
Risk adjustment
J84.09 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
J84.09 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
- A57205Billing and Coding: Oximetry Services
- A57224Billing and Coding: Respiratory Care
Alphabetic index entries that lead here
- Disorder›alveolar NEC
- Disorder›parietoalveolar NEC
- Pneumopathy NEC›alveolar
- Pneumopathy NEC›parietoalveolar
Code history
Unchanged in every release from FY2024 to FY2027.