ICD-9-CM Code | Description |
---|---|
493.22 | Chronic obstructive asthma with acute exacerbation |
496 | Chronic airway obstruction, not elsewhere classified |
Persons with chronic obstructive pulmonary disease (COPD) frequently experience acute exacerbations that are associated with decreased quality of life 1 and can lead to emergency-department (ED) visits and hospitalizations 2. The economic impact of severe exacerbations is significant.
Treatment of Acute COPD Exacerbation
What are the treatments for COPD (chronic obstructive pulmonary disease)?
chronic obstructive pulmonary disease [COPD] with acute bronchitis ICD-10-CM Diagnosis Code J44.0 Chronic obstructive pulmonary disease with (acute) lower respiratory infection
ICD-10 code: J44. 1 Chronic obstructive pulmonary disease with acute exacerbation, 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).
Overview. Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. Symptoms include breathing difficulty, cough, mucus (sputum) production and wheezing.
Chronic obstructive pulmonary disease (COPD) is a broad term used to describe a chronic lung disease that causes airflow limitations in patients with chronic bronchitis and/or emphysema. The obstruction is generally progressive but may be partially reversible.
ICD-10-CM Code for Unspecified asthma with (acute) exacerbation J45. 901.
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.
Table 1ICD-9-CM CodeDescription492.8Other emphysema493.22Chronic obstructive asthma with acute exacerbation496Chronic airway obstruction, not elsewhere classified518.81Acute respiratory failure12 more rows
These diseases include emphysema, chronic bronchitis, and sometimes asthma. Certain diseases that cause bronchiectasis also lead to chronically obstructed lung airways. People who've been diagnosed with COPD typically have emphysema, chronic bronchitis, or both.
Stages of COPDWhat Are the Stages of COPD?Stage I (Early)Stage II (Moderate)Stage III (Severe)Stage IV (Very Severe)
J44. 1 - Chronic obstructive pulmonary disease with (acute) exacerbation. ICD-10-CM.
A diagnosis of COPD and acute bronchitis is classified to code 491.22. It is not necessary to assign code 466.0 (acute bronchitis) with 491.22. Code 491.22 is also assigned if the physician documents acute bronchitis with COPD exacerbation.
Asthma with COPD is classified to code 493.2x. However, all coding directives in the Tabular List and index need to be reviewed to ensure appropriate code assignment. A fifth-digit sub classification is needed to identify the presence of status asthmaticus or exacerbation.
Exacerbation is defined as a decompensation of a chronic condition. It is also defined as an increased severity of asthma symptoms, such as wheezing and shortness of breath. Although an infection can trigger it, an exacerbation is not the same as an infection superimposed on a chronic condition.
After diagnosis, the most important and effective treatment for COPD is smoking cessation. The benefits of quitting smoking apply regardless of age, amount smoked, or severity of COPD.