· Unspecified asthma with (acute) exacerbation. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code. J45.901 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM J45.901 became effective on October 1, 2021.
Showing 1-25: ICD-10-CM Diagnosis Code J45.901 [convert to ICD-9-CM] Unspecified asthma with (acute) exacerbation. Acute exacerbation of asthma with allergic rhinitis; Allergic asthma with acute exacerbation; Asthma, with acute exacerbation (flare-up); Asthma, with allergic rhinitis with acute exacerbation; Exacerbation of asthma. ICD-10-CM Diagnosis Code J45.901.
ICD-10 J45.901 is a billable code used to specify a medical diagnosis of unspecified asthma with (acute) exacerbation. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.
3 rows · · Final Assessment: COPD exacerbation, Asthma exacerbation. Codes – J44.1, J45.901, F17.210. ...
ICD-10-CM Code for Unspecified asthma with (acute) exacerbation J45. 901.
ICD-10 | Moderate persistent asthma with (acute) exacerbation (J45. 41)
The ICD-CM codes for asthma have changed from 493.00 – 493.99 in ICD-9-CM to J45. 0 – J45. 998 in ICD-10-CM (Table).
In other words, you cannot use the J30 codes with either J31. 0 or J45. 909.
Asthma is classified as moderate persistent if symptoms occur daily. Flare-ups occur and usually last several days. Coughing and wheezing may disrupt the child's normal activities and make it difficult to sleep. Nighttime flare-ups may occur more than once a week.
ICD-10 | Moderate persistent asthma, uncomplicated (J45. 40)
A person may experience asthma exacerbations, during which their asthma worsens or new symptoms occur. These exacerbations, also known as asthma attacks, sometimes happen with no warning. The symptoms of asthma exacerbations include coughing, wheezing, chest tightness, and shortness of breath.
Valid for SubmissionICD-10:J45.901Short Description:Unspecified asthma with (acute) exacerbationLong Description:Unspecified asthma with (acute) exacerbation
Unspecified asthma, uncomplicated J45. 909 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM J45. 909 became effective on October 1, 2021.
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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.
Under the ICD-10 CM coding system, asthma is coded as J45. x, in addition to a code of Z56. 9 to refer to occupational problems or work circumstances. Occupational asthma is asthma caused by, or worsened by, exposure to substances in the workplace.
It is characterized by spasmodic contraction of airway smooth muscle, wheezing, and dyspnea (dyspnea, paroxysmal). Asthma is a chronic disease that affects your airways. Your airways are tubes that carry air in and out of your lungs. If you have asthma, the inside walls of your airways become sore and swollen.
The 2022 edition of ICD-10-CM J45.909 became effective on October 1, 2021.
A chronic respiratory disease manifested as difficulty breathing due to the narrowing of bronchial passageways. A form of bronchial disorder with three distinct components: airway hyper-responsiveness (respiratory hypersensitivity), airway inflammation, and intermittent airway obstruction.
Symptoms include wheezing, coughing, tightness in the chest, shortness of breath, and rapid breathing. An attack may be brought on by pet hair, dust, smoke, pollen, mold, exercise, cold air, or stress. A chronic respiratory disease manifested as difficulty breathing due to the narrowing of bronchial passageways.
A fifth code, J45.9 (Other and unspecified ...) is reserved for forms of the condition that do not fit neatly into the established categories, such as asthmatic bronchitis, childhood asthma, or exercise-induced bronchospasm.
Scenario: Your provider assesses a patient with asthma who is currently experiencing episodes of acute exacerbation. The patient suffers from symptoms at least twice a week, limiting the patient's daily activities somewhat. The patient also uses an inhaler more than twice a week, but not on a daily basis. Based on these symptoms, and the results of a pulmonary function test (PFT) that records a forced expiratory volume in 1 second (FEV1) >80%, your provider diagnoses an acute exacerbation of a mild persistent type of asthma.
Unlike many ICD-10 codes, the J45 code set uses the severity of the symptoms rather than the etiology of the condition as its subdivisions. This is consistent with the current asthma guidelines determined by the NHLBI, which classifies the conditions this way.
So, you would document the most severe form of an asthma attack, status asthmaticus, with the highest fifth digit, 2. (The J45.90 code set, however, features an exception to that rule, reserving 9 as the sixth digit when the condition is uncomplicated.)
Holle notes that "the use of an additional code such as Z72.0 (Tobacco use), F17- (Nicotine use...), or Z77.22 (Contact with and [suspected] exposure to environmental tobacco smoke [acute] [chronic]) is very important if there is an exposure to smoke or if the patient smokes - and some teens do!"
Asthma is probably one of the most common conditions your pediatric practice diagnoses and treats. But no matter how familiar you are with the J45 (Asthma ) code set, it's always a good idea to remind yourself what makes the codes so specific.