What is the difference between: Emphysema, COPD, Asthma, and Chronic Bronchitis?
What Causes COPD?
Shortness of breath can be an important symptom of lung disease. If you experience any of these symptoms, or think you might be at risk for COPD, it is important to discuss this with your doctor. Remember: Don't wait for symptoms to become severe because valuable treatment time could be lost.
Chronic bronchitis is a type of COPD (chronic obstructive pulmonary disease). COPD is a group of lung diseases that make it hard to breathe and get worse over time. The other main type of COPD is emphysema. Most people with COPD have both emphysema and chronic bronchitis, but how severe each type is can be different from person to person.
1 for Chronic obstructive pulmonary disease with (acute) exacerbation is a medical classification as listed by WHO under the range - Diseases of the respiratory system .
If the COPD exacerbation is in the setting of COPD with acute bronchitis, both code J44. 0 and code J44. 1 may be reported when appropriate. – Acute bronchitis is not equivalent to acute exacerbation; it is a separate condition.
ICD-10-CM J45. 901 is grouped within Diagnostic Related Group(s) (MS-DRG v39.0): 202 Bronchitis and asthma with cc/mcc. 203 Bronchitis and asthma without cc/mcc.
Remember that codes from the J44. - category cover both chronic obstructive bronchitis and chronic obstructive asthma, so if a patient's diagnosis includes both of those, one code from J44. - will suffice, according to tabular instruction.
In coding, if patients have COPD and asthma documented, without any further specificity of the type of asthma, only COPD would be reported. Per the instructional notes under Category J44, Other chronic obstructive pulmonary disease, code also type of asthma, if applicable (J45-).
The ICD codes for COPD are:J44. 0 (Chronic obstructive pulmonary disease with acute lower respiratory infection). ... J44.1(Chronic obstructive pulmonary disease with [acute] exacerbation) Decompensated COPD. ... J44.9(Chronic obstructive pulmonary disease, unspecified) Chronic obstructive airway disease.
9 – Acute Bronchitis, Unspecified.
bronchitis: allergic NOS (J45. 0) asthmatic NOS (J45.
Asthmatic bronchitis refers to the development of acute bronchitis in a person with asthma. Acute bronchitis is a respiratory condition that causes inflammation in the bronchi, which are the passageways that move air into and out of the lungs. This inflammation results in respiratory congestion and shortness of breath.
Note: Code J44. 0 includes a note that says “use additional code to identify infection.” The infection has been identified as acute bronchitis (J20. 9) so this code should be added in addition to the others. Note: There is an exclusion note under J44* (COPD) for emphysema without chronic bronchitis.
VICC agrees with the clinical advice that bronchiectasis and COPD are two separate diseases. A code can be assigned for each condition depending on the documentation in the medical record. In the scenario cited, J47 Bronchiectasis is assigned.
9, COPD, unspecified J44. 9 includes chronic bronchitis with emphysema, so you don't need an additional code for the emphysema. COPD is a chronic condition and may affect patient care even in the absence of active treatment.
Chronic bronchitis with acute exacerbation. Clinical Information. Bronchitis is an inflammation of the bronchial tubes, the airways that carry air to your lungs. It causes a cough that often brings up mucus, as well as shortness of breath, wheezing, and chest tightness.
You may need inhaled medicine to open your airways if you are wheezing. You probably do not need antibiotics. They don't work against viruses - the most common cause of acute bronchitis. If your healthcare provider thinks you have a bacterial infection, he or she may prescribe antibiotics.
The same viruses that cause colds and the flu often cause acute bronchitis. These viruses spread through the air when people cough, or through physical contact (for example, on unwashed hands). Being exposed to tobacco smoke, air pollution, dusts, vapors, and fumes can also cause acute bronchitis.
Asthma causes symptoms like shortness of breath, wheezing, coughing or chest tightness. Severity differs in each person.
Asthma exacerbation: – It is nothing but an acute increase of symptoms in a person with asthma. This can be coded only with the Physician diagnosis. Status asthmatics : – Another term for this is severe asthma exacerbation. It is considered as severe as this may lead to even respiratory failure due to hypoxemia.
What happens to our Lungs (Center of respiratory system)during asthma attack: During asthma attack, muscles around the airway gets tighten and the lining inside the airways becomes swollen and produce extra mucus. This makes airway to become narrow and partially block airflow in and out of air sacs.
This type of asthma occurs more than 2 times in a week with regular breathing difficulties to an extent of disturbing daily activities. Moderate persistent. These patients suffer from symptoms daily and last for several days. Severe persistent.
Their symptoms may completely disappear after few years. Experts say this may be due to the growth of airways along with body growth. Cough variant. It is so called because of the main symptom, dry cough. Mild intermittent.
Apart from knowing the symptoms and doing a lung physical examination the physician will also do few test measures like X-ray, spirometry, allergy testing, nitric oxide breath test or peak flow to determine the type of asthma and it’s severity. Hence a coder should definitely pay attention to these areas as well.
Asthma is a chronic disease, means it does not have a complete cure. Hence people with asthma should learn to live with it. Though it cannot be cured completely, symptoms can be reduced if we give proper care and treat on time.