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Acute Exacerbation of Chronic Bronchitis

  1. #1
    Default Acute Exacerbation of Chronic Bronchitis
    Medical Coding Books
    Acute Exacerbation of Chronic Bronchitis: Would that be 491.21 even though the physician did not specify "obstructive"?

    Thank you!

  2. #2
    Rochester, NY
    I would not use the obstructive code unless that is stated. I would use the 491.9. You don't want to be the one diagnosing them with COPD if they don't have it in their medical records.
    Thanks, Jill

  3. #3
    Thank you!

  4. Default
    I agree that I wouldn't code COPD unless it is documented; however, I think the "acute exacerbation" would cause me to query the physician. I don't think I've ever seen that outside of a COPD patient when referring to bronchitis. Just a thought...

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