ICD Code J18.0

ICD code J18.0 is bronchopneumonia caused by an unspecified organism, meaning the infection involves inflammation of the lungs and bronchi, but the specific bacteria or virus responsible has not been identified.

1. Patient presents with clinical signs of pneumonia, including cough, fever, dyspnea, and abnormal breath sounds (such as crackles or rales) on auscultation.

2. Radiological evidence of patchy, multifocal infiltrates consistent with bronchopneumonia on chest imaging.

3. Absence of identification of a specific causative organism after appropriate diagnostic testing (e.g., sputum culture, blood culture, PCR).

4. Symptoms may include productive or non-productive cough, pleuritic chest pain, malaise, and increased respiratory rate.

5. Laboratory findings may show elevated white blood cell count and markers of inflammation (e.g., CRP, ESR).

6. No evidence of alternative pulmonary pathology (such as heart failure, pulmonary embolism, or malignancy) explaining the clinical and radiological findings.

Relevant CPT codes that may be used to treat ICD code J18.0 include:

99202-99215 (Office or other outpatient evaluation and management services)

99221-99223 (Initial hospital care, per day, for the evaluation and management of a patient)

99231-99233 (Subsequent hospital care, per day, for the evaluation and management of a patient)

99238-99239 (Hospital discharge day management)

94010 (Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation)

94640 (Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes)

36415 (Collection of venous blood by venipuncture)

87070 (Culture, bacterial; any other source except urine, blood or stool)

71045-71048 (Radiologic examination, chest; single view, two views, three views, four or more views)

96372 (Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular)

90772 (Therapeutic, prophylactic, or diagnostic injection [specify substance or drug]; intravenous push, single or initial substance/drug)

96365-96366 (Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, each additional hour)

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