Wiki Acute asthma exacerbation with acute bronchitis

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Code: J45.21

Code Name: ICD-10 Code for Mild intermittent asthma with (acute) exacerbation

Block: Chronic lower respiratory diseases (J40-J47)

Excludes 1: bronchitis due to chemicals, gases, fumes and vapors (J68.0)

Excludes 2: cystic fibrosis (E84.-)

Details: Mild intermittent asthma with (acute) exacerbation

J45

Use additional code to identify:exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)

Includes: allergic (predominantly) asthma
allergic bronchitis NOS
allergic rhinitis with asthma
atopic asthma
extrinsic allergic asthma
hay fever with asthma
idiosyncratic asthma
intrinsic nonallergic asthma
nonallergic asthma

Excludes1: detergent asthma (J69.8)
eosinophilic asthma (J82)
lung diseases due to external agents (J60-J70)
miner's asthma (J60)
wheezing NOS (R06.2)
wood asthma (J67.8)

Excludes2: asthma with chronic obstructive pulmonary disease (J44.9)
chronic asthmatic (obstructive) bronchitis (J44.9)
chronic obstructive asthma (J44.9)

Guidelines: Diseases of the respiratory system (J00-J99)

Use additional code, where applicable, to identify:exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco use (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)


Note: When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).

Excludes 2: certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
smoke inhalation (T59.81-)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

For more details on J45.21 , ICD-10 Code for Mild intermittent asthma with (acute) exacerbation , visit: https://coder.aapc.com/icd-10-codes/

buckeye56

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The ER physicians will often circle acute asthma exacerbation and acute bronchitis on the T-sheet. Should I code 493.92 and 466.0, or would 493.92 capture all of it, since this is also the code for asthmatic bronchitis with acute exacerbation? If they don't dx "asthmatic bronchitis," is it still asthmatic bronchitis if they dx asthma and bronchitis at the same time? Thanks.
 

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acute asthma exacerbation and acute bronchitis

Code both 493.92 and 466.0. for acute asthma exacerbation and acute bronchitis, since 493.9X series includes only allergic and asthmatic bronchitis, not Acute Bronchitis.
 
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Asthma ATTACK vs EXCACERBATION

Good day,

I would like to know your opinion about ASTHMA ATTACK is Equivalent to EXACERBATION? as per mayo clinic asthma attack is equivalent to asthma exacerbation.However, I have received certain audit that an asthma attack is not equivalent in exacerbation and it has only something to do with status asthmaticus diagnosis.

Please advice,

Thank you,

Julius,
CPC, Medical Coder II
 
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