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Metabolic disorders. E84. ICD-10-CM Diagnosis Code E84. Cystic fibrosis. 2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code. Code Also. exocrine pancreatic insufficiency ( K86.81) Includes. mucoviscidosis.
If a patient with cystic fibrosis is admitted solely for pulmonary cleanout, assign the appropriate code from subcategory 277.0 as the principal diagnosis (AHA Coding Clinic for ICD-9-CM, 1994, third quarter, page 7).
Code E84.19 is also assigned for cystic fibrosis with distal intestinal obstruction syndrome and fecal impaction. Code E84.11 is for meconium ileus in cystic fibrosis.
A sweat chloride test, which checks for a higher-than-normal amount of salt, is the standard diagnostic test for cystic fibrosis. Immunoreactive trypsinogen is a standard screening test for newborns. Continued monitoring after diagnosis may include imaging (eg, X-rays, CT, MRI), lung function tests, sputum culture, and organ function tests.
Symptoms in newborns may include delayed growth, failure to gain weight normally (including into childhood), no bowel movements in the first 24 to 48 hours of life, and salty-tasting skin.
Respiratory infections are very common in patients with cystic fibrosis since bacteria that would normally be removed with the clearing of mucus are trapped. Many of these infections are chronic. Pseudomonas aeruginosa is the most common bacteria agent causing respiratory infections.
Treatment. There is no cure for cystic fibrosis. Treatment will focus on easing symptoms and reducing complications. Treatment goals include preventing and controlling lung infections, loosening and removing mucus from the lungs, preventing and treating intestinal blockage, and providing adequate nutrition.
If a patient with cystic fibrosis is admitted due to a manifestation or complication , such as pneumothorax or intussusception, the manifestation or complication should be sequenced as the principal diagnosis and cystic fibrosis as the secondary diagnosis. If the physician documents that the admission is due to the cystic fibrosis rather ...