icd 9 code for acute bronchitis with emphysema

by Sarina Kuhic 5 min read

COPD With Acute Bronchitis
Code 491.22 is also assigned if the physician documents acute bronchitis with COPD exacerbation
COPD exacerbation
An acute exacerbation of chronic obstructive pulmonary disease, or acute exacerbations of chronic bronchitis (AECB), is a sudden worsening of chronic obstructive pulmonary disease (COPD) symptoms including shortness of breath, quantity and color of phlegm that typically lasts for several days.
https://en.wikipedia.org › wiki › Acute_exacerbation_of_chro...
. However, if acute bronchitis is not mentioned with the COPD exacerbation, then code 491.21 is assigned (AHA Coding Clinic for ICD-9-CM, 2008, fourth quarter, pages 241-244).
May 11, 2009

Full Answer

What is the ICD-9 code for acute bronchitis?

ICD-9 code 466.0 for Acute bronchitis is a medical classification as listed by WHO under the range -ACUTE RESPIRATORY INFECTIONS (460-466). Subscribe to Codify and get the code details in a flash.

What is the CPT code for emphysema without chronic bronchitis?

Note: There is an exclusion note under J44* (COPD) for emphysema without chronic bronchitis. The code for emphysema. includes the COPD, so these should not be added as two separate codes. Note: In this document [*] indicates an additional character(s) is required.

How do you classify pulmonary emphysema?

Pulmonary emphysema can be classified by the location and distribution of the lesions. Pulmonary emphysema is a disorder affecting the alveoli (tiny air sacs) of the lungs. The transfer of oxygen and carbon dioxide in the lungs takes place in the walls of the alveoli. In emphysema, the alveoli become abnormally inflated,...

What are the symptoms of acute bronchitis?

Acute bronchitis, unspecified. It causes a cough that often brings up mucus, as well as shortness of breath, wheezing, and chest tightness. There are two main types of bronchitis: acute and chronic. The same viruses that cause colds and the flu often cause acute bronchitis. These viruses spread through the air when people cough,...

image

Can emphysema and chronic bronchitis be coded together?

The advice previously published in Coding Clinic regarding COPD and emphysema was based on the current structure of the classification. Currently, codes J43. 9 and J44. 1 cannot be assigned together because of the Excludes1 note.

What is the combination of emphysema and bronchitis known as?

COPD is sometimes called emphysema or chronic bronchitis. Emphysema usually refers to destruction of the tiny air sacs at the end of the airways in the lungs.

Can you code COPD and bronchitis together?

In this case, only code J44. 9- Chronic obstructive pulmonary disease, unspecified is reported following the ICD-10-CM Alphabetic Index. A patient is admitted with acute bronchitis and also has a history of COPD.

How do you code COPD with chronic bronchitis and emphysema?

So if documentation shows a patient with emphysema presents due to asthma and COPD, HCPCS Coding Clinic® (vol. 6, no. 1), instructs you to report J43. 9 for the emphysema and a code from J45.

Can you code COPD and bronchiectasis together?

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.

Is emphysema and bronchitis COPD?

Emphysema and chronic bronchitis are both long-term lung conditions. They're part of a disorder known as chronic obstructive pulmonary disease (COPD). Because many people have both emphysema and chronic bronchitis, the umbrella term COPD is often used during diagnosis.

Should I code emphysema or COPD?

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. The emphysema is the specified type of COPD.

Is bronchitis a COPD exacerbation?

This affects airflow to the lungs. Doctors sometimes call this condition emphysema or chronic bronchitis. A person with COPD can experience a period when their symptoms are much worse than usual. This is known as an acute exacerbation.

When acute bronchitis is documented with COPD What should the coder code?

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.

What is the ICD 10 code for acute bronchitis?

9 – Acute Bronchitis, Unspecified. Code J20. 9 is the diagnosis code used for Acute Bronchitis, Unspecified.

What is the ICD 10 code for emphysema?

ICD-10 code J43. 9 for Emphysema, unspecified is a medical classification as listed by WHO under the range - Diseases of the respiratory system .

What is are the correct code's for a patient with COPD and an acute lower respiratory infection?

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).

What is the classification of pulmonary emphysema?

Pulmonary emphysema can be classified by the location and distribution of the lesions. Pulmonary emphysema is a disorder affecting the alveoli (tiny air sacs) of the lungs. The transfer of oxygen and carbon dioxide in the lungs takes place in the walls of the alveoli.

What is emphysematous bleb?

Clinical Information. A condition of the lung characterized by increase beyond normal in the size of air spaces distal to the terminal bronchioles, either from dilatation of the alveoli or from destruction of their walls.

What is COPD in medical terms?

A subcategory of chronic obstructive pulmonary disease (copd). It occurs in people who smoke and suffer from chronic bronchitis. It is characterized by inflation of the alveoli, alveolar wall damage, and reduction in the number of alveoli, resulting in difficulty breathing.

What is the name of the disease that causes difficulty breathing?

A subcategory of chronic obstructive pulmonary disease (copd).

What is the treatment for bronchiolitis?

Treatment is based on whether your symptoms are mild, moderate or severe. Treatments include inhalers, oxygen, medications and sometimes surgery to relieve symptoms and prevent complications . Enlargement of air spaces distal to the terminal bronchioles where gas-exchange normally takes place.

What is the name of the condition where the air sacs are damaged?

An abnormal increase in the size of the air spaces, resulting in breathing difficulty and an increased sensitivity to infection. Emphysema is a type of chronic obstructive pulmonary disease (copd) involving damage to the air sacs (alveoli) in the lungs. As a result, your body does not get the oxygen it needs.

What is chronic bronchitis?

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.

Do you need antibiotics for bronchitis?

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.

Can a virus cause bronchitis?

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.

image