ICD Code J43.0

ICD code J43.0 is unilateral pulmonary emphysema, also known as MacLeod's syndrome, which refers to a rare lung condition where one lung or part of one lung is abnormally overinflated and less efficient at exchanging gases.

1. Presence of unilateral hyperlucency of one lung or part of a lung on imaging studies (e.g., chest X-ray or CT scan)

2. Evidence of decreased vascular markings in the affected lung region

3. Absence of significant fibrosis or bronchiectasis in the affected area

4. No history of significant prior pulmonary infection or trauma that could explain the findings

5. Clinical symptoms may include mild to moderate dyspnea, recurrent respiratory infections, or may be asymptomatic

6. Pulmonary function tests may show mild to moderate obstructive or restrictive patterns, often localized to the affected lung

7. Exclusion of other causes of unilateral hyperlucency such as congenital lobar emphysema, Swyer-James syndrome, or post-infectious changes

Relevant CPT codes that may be used to treat ICD code J43.0 include:

- 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)

- 94664 (Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device)

- 32480 (Removal of lung, pneumonectomy)

- 32482 (Removal of lung, excision of a single lobe)

- 32551 (Tube thoracostomy, includes water seal)

- 31622 (Bronchoscopy, diagnostic, with or without cell washing)

- 71045 (Radiologic examination, chest; single view)

- 71046 (Radiologic examination, chest; two views)

These CPT codes are commonly associated with the management and treatment of J43.0.

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