Wiki COPD and Asthma

[jolinthomas]

Hi please clarify my question

What is the appropriate ICD-10 CM code assignment for acute exacerbation of COPD, acute bronchitis and acute exacerbation of asthma?

 

[chaimz]

J44.1

 

[Fahad.Ogagang@MiraMedGS.com]

COPD exa with asthma exa

J44.1 plus J45.901

COPD exa plus Acute Bronchitis

J44.0 plus J20.9

 

[Fahad.Ogagang@MiraMedGS.com]

COPD exa with asthma exa

J44.1 plus J45.901

COPD exa plus Acute Bronchitis

J44.0 plus J20.9

COPD exa plus COPD with Acute Bronchitis

J44.1 plus J44.0 and J20.9

COPD exa, Asthma exa, and Acute Bronchitis

J44.1 plus J44.0, J20.9, and J45.901

 

[jolinthomas]

thank you

 

[rbandaru]

Hello
Below are the codes and reference for the above scenario.
J44.0
J20.9
J45.901



The below is Reference from Handbook.
• Coding of Diseases of the Respiratory, Digestive, and Genitourinary Systems
• 19 Diseases of the Respiratory System
• CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Category J44 is further subdivided to specify whether there is an acute lower respiratory infection (J44.0) and whether there is an exacerbation of the condition (J44.1). If applicable, a code from category J45 is assigned to specify the type of asthma. In the case of code J44.0, Chronic obstructive pulmonary disease with acute lower respiratory infection, an additional code should be reported to identify the infection. The codes in category J44 distinguish between uncomplicated cases (J44.9) and those in acute exacerbation (J44.1). An acute exacerbation is a worsening or a decompensation of a chronic condition. An acute exacerbation is not equivalent to an infection superimposed on a chronic condition, though an exacerbation may be triggered by an infection. For example, COPD with acute bronchitis should be coded to J44.0, rather than J44.1.

Regards
Dr.Ramnath Bandaru, CCS, CPC
American Medical Services LLC
http://amshealth.com/
Twitter: @HospitalCoders

 

[PriyaO]

Please clarify 70 year-old with COPD is admitted to the hospital for acute exacerbation of chronic bronchial asthma. What diagnosis code(s) should be reported?