Publication Date:
2022-10-19
A quick reference guide to assist with accurate, complete documentation and coding that reflects the true nature of a patient’s current health status at the highest level of specificity. Per ICD-10 official guidelines for reporting and coding “The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved.”
Chronic Obstructive Pulmonary Disease (COPD)
COPD refers to a group of disease that cause airflow blockage and breathing difficulty. There is no cure for COPD, it can be treated.
Asthma
Asthma is a chronic respiratory condition which causes airways to be inflamed, narrow and swell. It also produces mucus which makes it difficult to breath. Asthma can't be cured, but its symptoms can be controlled.
Documentation & Coding Guidance |
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Documentation needs to be clear and detailed using the following terms to allow accurate ICD10 code selection
Coding Tips:
Treatments include: Bronchodilators, anti-inflammatory drugs (Corticosteroids), Mucoactive drugs, Antibiotics, Vaccine, Oxygen therapy, Pulmonary rehabilitation, Lung volume reduction surgery, Lung Transplant, and Lifestyle changes
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Category |
ICD-10 |
ICD-10 Description |
Chronic Bronchitis |
J41.0 |
Simple chronic |
J41.1 |
Mucopurulent |
|
J41.2 |
Mixed simple & mucopurulent bronchitis |
|
J42 |
Unspecified chronic bronchitis |
|
Emphysema |
J43.1 |
Panlobular |
J43.2 |
Centrilobular |
|
J43.8 |
Other |
|
J43.9 |
unspecified |
|
COPD |
J44.0 |
with (acute) lower respiratory infection |
J44.1 |
with (acute) exacerbation |
|
J44.9 |
unspecified |
|
Asthma – mild, intermittent |
J45.20 |
uncomplicated |
J45.21 |
with (acute) exacerbation |
|
J45.22 |
with status asthmaticus |
|
Asthma – mild, persistent |
J45.30 |
uncomplicated |
J45.31 |
with (acute) exacerbation |
|
J45.32 |
with status asthmaticus |
|
Asthma - moderate |
J45.40 |
uncomplicated |
J45.41 |
with (acute) exacerbation |
|
J45.42 |
with status asthmaticus |
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Asthma - severe |
J45.50 |
uncomplicated |
J45.51 |
with (acute) exacerbation |
|
J45.52 |
with status asthmaticus |
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Asthma - unspecified |
J45.901 |
with (acute) exacerbation |
J45.902 |
with status asthmaticus |
|
J45.909 |
uncomplicated |
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Asthma - other |
J45.990 |
Exercise induced bronchospasm |
J45.991 |
Cough variant asthma |
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References:
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