What’s the Rx for exercised-induced asthma?
Exercise-induced asthma is a narrowing of the airways in the lungs triggered by strenuous exercise. It causes shortness of breath, wheezing, coughing, and other symptoms during or after exercise. The preferred term for this condition is exercise-induced bronchoconstriction (brong-koh-kun-STRIK-shun).
Historically, the terms exercise-induced asthma (EIA) and exercise-induced bronchospasm (EIB) have been used interchangeably; however, these can be considered 2 separate entities that should be treated as such. EIA describes patients who have underlying asthma, and exercise is a trigger that exacerbates their asthma.
Asthma is a chronic respiratory condition that causes inflammation in the airway. Exercise-induced asthma can affect people with and without regular asthma. Exercise-induced asthma makes the bronchial tubes narrow during physical activity, causing symptoms such as wheezing, coughing, and difficulty breathing.
J45. 909 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Overview. Exercise-induced bronchoconstriction, or EIB, is the preferred term for what was known for years as exercise-induced asthma . Symptoms develop when airways narrow as a result of physical activity. As many as 90 percent of people with asthma also have EIB, but not everyone with EIB has asthma.
Bronchospasm is a common diagnosis during anesthesia but it is rarely the correct one. Bronchoconstriction or narrowing of airways from loss of lung volume is a far more common cause of wheezing and difficulty with ventilation during anesthesia.
The diagnosis of EIB is established by changes in lung function provoked by exercise, not on the basis of symptoms. Serial lung function measurements after a specific exercise or hyperpnea challenge are used to determine if EIB is present and to quantify the severity of the disorder.
Following a standardized exercise stress, allergic (extrinsic) asthmatics respond with more severe asthma than do nonallergic (intrinsic) asthmatics. The incidence of significant exercise-induced asthma is greater in a group of extrinsic asthmatics than in intrinsic asthmatics.
The gold standard of exercised-induced asthma treatment is a prescription albuterol inhaler. You can carry it with you and use it about 15 to 20 minutes before exercise to prevent asthma symptoms. It's an effective treatment for about 80 percent of exercise-induced asthma cases.
ICD-10 Code: J45* – Asthma.
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).
9 – Chronic Obstructive Pulmonary Disease, Unspecified.
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.
Asthma causes symptoms like shortness of breath, wheezing, coughing or chest tightness. Severity differs in each person.
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.