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J70.4

Billable

Drug-induced interstitial lung disorders, unspecified

HCC Category Mapping

V24HCC 112Fibrosis of Lung and Other Chronic Lung Disorders
0.268
ESRDHCC 112Fibrosis of Lung and Other Chronic Lung Disorders
0.000

What This Code Means

Lung inflammation caused by medications or drugs, but the specific type or duration of the condition is not clearly specified.

Coding Tips

  • Use this code only when the chronicity (acute vs. chronic) cannot be determined from the medical record
  • Document the causative drug whenever possible to support more specific coding in the future

Clinical Significance

Unspecified drug-induced interstitial lung disease indicates that a medication has caused lung damage but the chronicity (acute vs. chronic) is not clearly documented. This code should prompt provider queries to determine the specific presentation for both clinical management and more accurate risk adjustment coding.

Documentation Requirements

  • Documentation of interstitial lung disease attributed to a medication
  • Identification of the causative drug when possible
  • Clinical presentation and imaging findings
  • Provider attestation of drug causation
  • Adverse effect coding using T36-T50 codes
  • Plans for further characterization of the disease as acute or chronic

Excludes 1 — Do NOT code together

  • interstitial pneumonia NOS (J84.9)
  • lymphoid interstitial pneumonia (J84.2)

Use Additional Code

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Commonly Confused Codes

Code Hierarchy

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