Chronic pulmonary coccidioidomycosis

This code represents a persistent lung infection caused by the fungus Coccidioides immitis or Coccidioides posadasii, characterized by ongoing inflammation and damage to the pulmonary system. It signifies a long-term, often debilitating, form of coccidioidomycosis affecting the lungs.

Use this code for patients diagnosed with chronic pulmonary coccidioidomycosis, typically following an acute infection that did not resolve or after reactivation of latent disease. Documentation should clearly indicate chronic lung involvement, such as persistent cough, dyspnea, cavitary lesions, or infiltrates on imaging, and a confirmed fungal etiology.

• Differentiate from acute pulmonary coccidioidomycosis (114.0) based on the duration and persistence of symptoms and radiographic findings.
• Consider additional codes for specific manifestations, such as cavitary lesions (e.g., 518.81 for acute respiratory failure if applicable) or associated complications.
• Ensure the medical record explicitly states "chronic" to support the use of this specific subcategory.