Wiki ICD 10 Acute respiratory failure, acute infectious bronchitis with acute exac of COPD

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Code: J96.00
Code Name: ICD-10 Code for Acute respiratory failure, unspecified whether with hypoxia or hypercapnia
Block: Other diseases of the respiratory system (J96-J99)
Details: Acute respiratory failure, unspecified whether with hypoxia or hypercapnia
J96
Excludes1: acute respiratory distress syndrome (J80)
cardiorespiratory failure (R09.2)
newborn respiratory distress syndrome (P22.0)
postprocedural respiratory failure (J95.82-)
respiratory arrest (R09.2)
respiratory arrest of newborn (P28.81)
respiratory failure of newborn (P28.5)
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, visit: https://coder.aapc.com/icd-10-codes/J96.00

Cindy Elliott

Contributor
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Our group is struggling with multiple interpretations on how to code the below scenario for I10 and hoping you can share your expertise opinion.
Q:
This 75 year old female was brought to the ER with severe difficulty in breathing. She was intubated and started on mechanical ventilation and admitted. Diagnoses for this patient: Acute respiratory failure, acute infectious bronchitis with acute exacerbation of COPD.

The J44.1 and J44.0 kind of leads you around in circles. J44.1 has an excludes 2 note -COPD with acute bronchitis (J44.0) then J44.0 says Use additional code to identify the infection
1. Is it appropriate to code the J02.9- Acute bronchitis, unspecified, when the description of acute bronchitis is within the description of the J44.1?
2. Should both J44.0 and J44.1 be coded?

A: Based on our groups interpretation
J96.00- Acute respiratory failure, unspecified whether with hypoxia or hypercapnia

J44.0- Chronic obstructive pulmonary disease with acute lower respiratory infection
Use additional code to identify the infection
J20.9- Acute bronchitis, unspecified

J44.1- Chronic obstructive pulmonary disease with (acute) exacerbation

Any help or guidance would be appreciated
Thank You
Cindy
 

LFARDENCPC

Networker
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according to the guidelines you would code J20.9 with both the J44.0 and J44.1; The J20 code would normally indicate the infection; if it is not documented you would use the J20.9.
"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..."
Read the chapter specific guidelines to help clarify your position. Hope this helps. :)
 
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