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Thread: Dx code: Emphysematous Changes

  1. #1
    Join Date
    Apr 2007

    Question Dx code: Emphysematous Changes

    AAPC: Back to School
    If the verbiage 'emphysematous changes' appears in the body or in the impression of a report, what would be the best code choices....492.8, 793.1, 518.89?


  2. #2


    I was taught to use 492.8.
    Julianne Sheetz, CPC

  3. #3
    Join Date
    Apr 2007


    That's what I had been advised to do years ago as well.

    However, I'm training someone who has a CCA certification from AHIMA and her forums are telling her that she should not use 492.8 because they say it is not a codable diagnosis, it is a trait, not defined as emphysema, and she should go back and code the presenting symptoms. I told her to go with what her AHIMA people were saying.

    Thanks for atleast replying! I was starting to think I was ding-a-ling for asking the question.

    Thanks again!

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