What is the ICD 10 code for COPD? Chronic obstructive pulmonary disease, unspecified J44. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM J44. 9 became effective on October 1, 2019. Hereof, what is the diagnosis code for COPD?
Other treatments
Antibiotics work by attacking the source of the infection. Antibiotics may be prescribed in some cases of chronic obstructive pulmonary disease (COPD) during exacerbations (flare-ups) if there are signs of infection. Doxycycline, Amoxicillin, Penicillin, and Cephalosporins are examples of antibiotics that may be used to treat COPD flare-ups.
RESP301 involves giving those who develop a chest infection a nebuliser containing nitric oxide - which is then inhaled for seven days. People with conditions like COPD and bronchiectasis are less able to produce nitric oxide in their lungs.
If the documentation supports that the patient has a specific type of asthma documented and COPD, both codes could be reported. An example would be documentation in the record is COPD and moderate persistent asthma.
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.
ICD-10-CM Diagnosis Code J45 J45.
1 - COPD with (acute) exacerbation. 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.
ICD-10 Code for Unspecified asthma with (acute) exacerbation- J45. 901- Codify by AAPC.
If a medical record documents Acute Bronchitis with COPD w/ Acute Exacerbation, codes J20. 9, J44. 0, and J44. 1 are assigned.
Exacerbation of COPD. An exacerbation (ex-zass-cer-bay-shun) of Chronic Obstructive Pulmonary Disease (COPD) is a worsening or “flare up” of your COPD symptoms. In many cases an exacerbation is caused by an infection in the lungs, but in some cases, the cause is never known.
If the patient has an acute exacerbation of COPD and pneumonia, we would assign both codes J44. 0 (chronic obstructive pulmonary disease with acute lower respiratory infection) and code J44. 1 (chronic obstructive pulmonary disease with acute exacerbation).
COPD ICD 10 codes and guidelines can be found in chapter 10 of ICD-10-CM manual which is “diseases of the respiratory system”, code range J00 – J99
COPD ICD 10 Code list and guidelines 1 As COPD is a group of diseases it is important to see the coding guidelines properly before deciding which code to be assigned. 2 Look for the notes – Excludes 1, excludes 2, includes, code also, use additional. 3 Excludes 1 note has codes from category J43, J41, J42, J47 and J68.0 4 Asthma of specified type (Eg: mild intermittent asthma) should be coded separately along with COPD. 5 Disease – Airway – Obstructive = Leads to COPD
Groups of lung diseases contribute to COPD, most commonly seen combinations are Emphysema and chronic bronchitis. Cigarette smoking is one of the major risk factor in increasing the number of COPD patients in the world.
Diagnosis of COPD can be done by doing pulmonary function test (PFT), chest X-ray, CT lung or arterial blood gas analysis.
Note: asthma unspecified J45.909 can not be coded with COPD. Asthma can be coded only if it is specified to which type.
Can not code J43.9 (emphysema) as it has excludes 1 note for “emphysema with chronic (obstructive) bronchitis (J44.-)
As COPD is a group of diseases it is important to see the coding guidelines properly before deciding which code to be assigned.
Refer Chapter 10 (Diseases of the respiratory system (J00- J99) in ICD-10-CM for Asthma guidelines.
Need to code both asthma and COPD because asthma with additional specificity can be coded along with COPD.
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.
Asthma causes symptoms like shortness of breath, wheezing, coughing or chest tightness. Severity differs in each person.
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.