AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 2; Ask The Editor

Chemotherapy Induced Pneumonitis

A patient with history of metastatic breast cancer is diagnosed with hypoxemic acute respiratory failure, due to Paclitaxel/chemotherapy induced pneumonitis. Coding professionals are unclear whether it is appropriate to assign code J18.9, Pneumonia, unspecified organism, or code J84.89, Other specified interstitial pulmonary disease, to capture pneumonitis, as the medical literature describes pneumonitis as a noninfectious side effect associated with chemotherapy. What is the correct code assignment for chemotherapy induced pneumonitis? ...

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