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Croup or Asthmatic croup?

  1. #1
    Default Croup or Asthmatic croup?
    Medical Coding Books
    If the doctor puts croup on the diagnosis line of the ED chart and the history section of the chart notes that the patient has a history of asthma, should I code croup, or asthmatic croup?
    I have also encountered the same situation with bronchitis and asthmatic bronchitis. If the diagnosis given is bronchitis and asthma is in the history, would you code asthmatic bronchitis?
    Thank you.
    I work for a billing company, so I would not query the physician on this.
    Last edited by buckeye56; 01-30-2009 at 06:35 AM.

  2. #2
    i believe it would code to asthma, if you look under croup there is a code for asthmatic croup which states see asthma. Hope that helps. More than likely, a patient with asthma may be more predisposed to getting croup??
    Pat A. Trautner, CCS/CPC/CEDC/CHONC

  3. #3
    Albany, New York
    I would go with what is documented....Croup
    Karen Maloney, CPC
    Data Quality Specialist

  4. Default Croup
    Croup is the diagnosis. Asthma is the history - Pt. may have asthma for years, but the pt. doesn't present with asthma today. If audited (I have done Medicare audits) I would expect to see Croup as the correct dx.

  5. #5
    Default Thanks
    I appreciate all your help.

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