Wiki Copd

[goodcoder]

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

 

[Anna Weaver]

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?

 

[RGALVEZ]

I agree. Wasn't sure what she was asking. But, because she said COPD & emphysema in the "same" sentence, I would go with 496.

 

[LLovett]

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

 

[magnolia1]

I concur with Katmryn78.

Would code the Emphysema only.

Karen Maloney, CPC
Data Quality Specialist