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E84.9

Billable

Cystic fibrosis, unspecified

HCC Category Mapping

V28HCC 277Cystic Fibrosis
0.405
V24HCC 110Cystic Fibrosis
0.473
ESRDHCC 110Cystic Fibrosis
0.000
RxHCCHCC 225Cystic Fibrosis
0.000

What This Code Means

This code is used when a patient has cystic fibrosis but the specific organ systems affected are not documented or specified.

Coding Tips

  • Avoid using this unspecified code when possible; query the provider for clarification on which systems are involved (pulmonary, intestinal, etc.)
  • This code should only be used when documentation is truly insufficient to assign a more specific E84 code

Clinical Significance

Cystic fibrosis, unspecified should be used only when the specific manifestation is not documented. Given that CF is a multi-system disease, most patients will have documented manifestations that allow for more specific coding. This code still carries the same HCC value as the specific CF codes.

Documentation Requirements

  • Confirmed cystic fibrosis diagnosis by the treating provider
  • Documentation supporting CF diagnosis (sweat chloride, genetic testing, clinical criteria)
  • Active treatment plan (CFTR modulators, supportive care)
  • Verification that no specific manifestations are documented anywhere in the record
  • Query to provider for manifestation specification if possible

Commonly Confused Codes

Code Hierarchy

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