Wiki If both COPD and bronchitis(Simple Chronic Bronchitis) is mentioned then what should we code?

[ShovanD]

If we search it using the index, it leads to code J44.89. Should we add another code to specify the type of bronchitis if it's mentioned under the J41 series? The confusion arises because under J44, 'Exclude 1' mentions J41, and under J41, 'Exclude 2' mentions J44. So, what would be the proper code in this case?

 

[Papitha]

COPD itself comprises chronic bronchitis by its pathophysiology. Therefore, no need to code bronchitis separately. If we lead with the index bronchitis with COPD it leads to J44.89, that suffices.



Reference link - https://www.nhlbi.nih.gov/health/co...ive pulmonary,a slimy substance called mucus .

Hope this clarifies your query.