Wiki Acute Laryngobronchitis- ICD 10 Coding

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Code: J04.0
Acute laryngitis
Excludes 1: acute obstructive laryngitis (J05.0)
Excludes 2: chronic laryngitis (J37.0)
Edematous laryngitis (acute)
Laryngitis (acute) NOS
Subglottic laryngitis (acute)
Suppurative laryngitis (acute)
Ulcerative laryngitis (acute)
Parent Code Notes: J04
Excludes1: acute obstructive laryngitis [croup] and epiglottitis (J05.-)
Excludes2: laryngismus (stridulus) (J38.5)
Use additional code (B95-B97) to identify infectious agent.

Category Notes
Acute upper respiratory infections (J00-J06)
Excludes 1: chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)
influenza virus with other respiratory manifestations (J09.X2, J10.1, J11.1)

Coding Guidelines
Diseases of the respiratory system (J00-J99)
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).
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 dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)
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)

Suriya Narayanan

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Can any one help me to find out the accurate coding pattern for Acute Laryngobronchitis ?
I would go for Split coding as Acute Laryngitis (J04.0) and Bronchitis (J40) .
Is this appropriate to code like this??
Or Acute Laryngitis ( J04.0) and Acute Bronchitis (J20.9)

I would like to get more suggestions from Ours Coders group with Examples and Documentation .

Thank you
 

msjaxn

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Michelle

Chapter 10: Diseases of the Respiratory System (J00-J99) the first note says: 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 code to bronchititis in J40). Code only the acute bronchitis.
 

Suriya Narayanan

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Suriya

Thanks Michelle for your Kind reply . I could not find the Specific Guideline regarding this (which you mentioned in the comment) Under Chapter 10.So I am still searching for more documentations to judge the accurate coding . .
 
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