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  1. Default Copd
    Medical Coding Books
    Hi everybody i need some clrification regarding ICD-9 cm selection COPD and emphysema please . Thanks

  2. #2
    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
    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
    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
    Albany, New York
    I concur with Katmryn78.

    Would code the Emphysema only.

    Karen Maloney, CPC
    Data Quality Specialist

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