Copd

goodcoder

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Hi everybody i need some clrification regarding ICD-9 cm selection COPD and emphysema please . Thanks
 

Anna Weaver

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copd

Not sure what your looking for, but in ICD-9 the exclusions under COPD says: Note: This code is not to be used with any code from categories 491-493.

The reasoning is that COPD is a combination of bronchitis and emphysema, so any of these codes, including either one, would not be coded in addition to COPD.

Is this what your looking for? Anyone else?
 

LLovett

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COPD is a NEC code that should only be used until the cause is identified. If the patient has been diagnosed with emphysema that is what should be used. It states in ICD-9 that 496


Excludes chronic obstructive lung disease [COPD] specified (as) (with):

allergic alveolitis (495.0-495.9)

asthma (493.20-493.22)

bronchiectasis (494.0-494.1)

bronchitis (491.20-491.22)

with emphysema (491.20-491.22)

decompensated (491.21)

emphysema (492.0-492.8)


Laura, CPC
 
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