0: Chronic obstructive pulmonary disease with (acute) lower respiratory infection. 2022.
0 is coded first, followed by the code for pneumonia, and assigned to DRG 190 COPD with MCC. AECOPD and Pneumonia: When a patient has both pneumonia and acute exacerbation of COPD, it is appropriate to assign both codes J44. 0 [COPD with acute lower respiratory infection] and J44. 1 [COPD with (acute) exacerbation].
Other chronic obstructive pulmonary disease J44-
J44. 0 - Chronic obstructive pulmonary disease with (acute) lower respiratory infection. ICD-10-CM.
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. In this case, two codes would be reported.
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.
9 – Chronic Obstructive Pulmonary Disease, Unspecified. ICD-Code J44. 9 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Chronic obstructive pulmonary disease. This is sometimes referred to as chronic obstructive lung disease (COLD) or chronic obstructive airway disease (COAD).
When the walls are damaged the alveoli lose their ability to stretch and spring and the air gets trapped. Since the term COPD is unspecified and represents any form of unspecified chronic obstructive lung disease, an additional code is not needed when the diagnosis of emphysema is documented in the healthcare record.
An acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is a clinical diagnosis made when a patient with COPD experiences a sustained (e.g., 24–48 h) increase in cough, sputum production, and/or dyspnea.
Therefore, the only code that is needed is J47. 1 to report the diagnosis of “COPD with exacerbation of bronchiectasis.”
J20. 1 Acute bronchitis due to Hemophilus influenzae... J20. 5 Acute bronchitis due to respiratory syncytial...
ICD-10 code J40 for Bronchitis, not specified as acute or chronic is a medical classification as listed by WHO under the range - Diseases of the respiratory system .
ICD-10 Code for Chronic obstructive pulmonary disease with (acute) exacerbation- J44. 1- Codify by AAPC.
When the walls are damaged the alveoli lose their ability to stretch and spring and the air gets trapped. Since the term COPD is unspecified and represents any form of unspecified chronic obstructive lung disease, an additional code is not needed when the diagnosis of emphysema is documented in the healthcare record.
1: Chronic obstructive pulmonary disease with acute exacerbation, unspecified.
J44.0 is a billable ICD code used to specify a diagnosis of chronic obstructive pulmonary disease with acute lower respiratory infection. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
This means that while there is no exact mapping between this ICD10 code J44.0 and a single ICD9 code, 493.21 is an approximate match for comparison and conversion purposes.
To start, let’s take a quick look at the code change effective Oct. 1, 2019. Code J44.0 will add parentheses around the word acute, so the descriptor will look like this: Chronic obstructive pulmonary disease with (acute) lower respiratory infection.
Category J45.- Asthma is another area to watch. For instance, J44.- Other chronic obstructive pulmonary disease includes asthma with COPD, chronic asthmatic bronchitis, and chronic obstructive asthma, among other diagnoses. The ICD-10-CM Official Guidelines, I.C.10.a.1, offer authoritative advice to help with COPD and asthma coding terminology:
Acute exacerbation of chronic obstructive bronchitis and asthma#N#The codes in categories J44 and J45 distinguish between uncomplicated cases and those in acute exacerbation. An acute exacerbation is a worsening or a decompensation of a chronic condition. An acute exacerbation is not equivalent to an infection superimposed on a chronic condition, though an exacerbation may be triggered by an infection.
To avoid COPD coding mistakes, you must apply the notes that accompany the codes in the ICD-10-CM Tabular List. Payers are increasingly paying attention to whether claims follow Excludes1 notes, so your ability to follow the notes may help prevent denials.
ICD-10-CM 2020 is bringing a small change to chronic obstructive pulmonary disease (COPD) code J44.0, making it a good time to refresh your knowledge of the guidelines that apply to coding for this disease (or group of diseases, if you want to be precise!).
The ICD-10-CM Official Guidelines for Coding and Reporting state that parentheses “enclose supplementary words that may be present or absent in the statement of a disease or procedure without affecting the code number to which it is assigned.” This is the rule in both the 2019 and the 2020 ICD-10-CM Official Guidelines.
In other words, the change clarifies that you may use J44.0 regardless of whether the documentation specifically states the lower respiratory infection is acute.