Yes, 496 is the only code to use. Unfortunately, they don't have a separate code for end stage COPD. However, talk to your docs - sometimes there's something else going on there.
For example: they may have asthma or bronchitis along with the COPD which would point you to other more specific codes to use. I've worked with Pulmonary/Critical Care/Sleep Medicine docs for the past 8+ years and I'm always asking them for more information - which normally leads me to other more specific code ranges. In the event that COPD is all you have to go on, then yes, the 496 would be appropriate to use.
Hope this helps! Janet
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