AAPC - Back to school
Results 1 to 5 of 5

Thread: Copd

  1. #1

    Default Copd

    AAPC: Back to School
    Hi everybody i need some clrification regarding ICD-9 cm selection COPD and emphysema please . Thanks

  2. #2
    Join Date
    Apr 2007
    Kokomo, IN

    Default copd

    Not sure what your looking for, but in ICD-9 the exclusions under COPD says: Note: This code is not to be used with any code from categories 491-493.

    The reasoning is that COPD is a combination of bronchitis and emphysema, so any of these codes, including either one, would not be coded in addition to COPD.

    Is this what your looking for? Anyone else?

  3. #3
    Join Date
    Apr 2007
    San Antonio, Tx


    I agree. Wasn't sure what she was asking. But, because she said COPD & emphysema in the "same" sentence, I would go with 496.

  4. #4
    Join Date
    Apr 2007


    COPD is a NEC code that should only be used until the cause is identified. If the patient has been diagnosed with emphysema that is what should be used. It states in ICD-9 that 496

    Excludes chronic obstructive lung disease [COPD] specified (as) (with):

    allergic alveolitis (495.0-495.9)

    asthma (493.20-493.22)

    bronchiectasis (494.0-494.1)

    bronchitis (491.20-491.22)

    with emphysema (491.20-491.22)

    decompensated (491.21)

    emphysema (492.0-492.8)

    Laura, CPC

  5. #5
    Join Date
    Apr 2007
    Albany, New York


    I concur with Katmryn78.

    Would code the Emphysema only.

    Karen Maloney, CPC
    Data Quality Specialist

Similar Threads

  1. COPD exacervation/COPD bronchitis
    By ggparker14 in forum Diagnosis Coding
    Replies: 1
    Last Post: 04-20-2012, 09:48 AM
  2. Copd
    By gfrancis in forum Diagnosis Coding
    Replies: 4
    Last Post: 06-06-2011, 11:06 AM
  3. Copd and symptoms
    By loretok in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 03-27-2011, 10:47 AM
  4. copd
    By jbaird in forum Diagnosis Coding
    Replies: 3
    Last Post: 04-07-2009, 06:04 AM
  5. Copd
    By Irisgirl in forum Diagnosis Coding
    Replies: 2
    Last Post: 10-10-2008, 07:04 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.