Chest X-ray showed positive for pneumonia. Physical exam shows coarse breath sounds, and wheezing throughout. ![]() Vitals noted as temperature 101.2 F, heart rate 89 bpm, respiratory rate 18 bpm, BP 140/86 mm Hg, oxygen saturation 84% RA, 98% on 4L nasal canula. Review of systems shows productive cough, chills and fever. He has a history of hypertension and COPD and takes lisinopril and albuterol inhaler. He started taking azithromycin but not had an improvement even after 3 days. He had visited a nearby clinic and was diagnosed as COPD exacerbation. Peter, 68 year old male admitted to hospital for cough and dyspnea from past one week. Asthma can be coded only if it is specified to which type. Note: asthma unspecified J45.909 can not be coded with COPD. This case is diagnosed as COPD exacerbation. Examination found wheezing when taking breath, decreased breath sound and no obvious cardiac murmurs.Ĭhest X-ray and PFT were done. Vitals noted temperature of 97.9 F, HR 84 beats per minute, oxygen saturation 96% RA. She is an asthma patient and diagnosed with COPD few months back. J43.9 not coded following excludes 1 note with J43.9 for “emphysema with chronic (obstructive) bronchitis (J44.-)Īs there is no chronic bronchitis we need to follow excludes 1 note with J43.9 and not code COPDħ7 year old female presents with shortness of breath worse with exertion and cough with yellow sputum. J45.30 coded separately as per “code also” note with J44.9ĬOPD exacerbation, Mild persistent asthmaīoth J44.1 and J44.0 is coded as per excludes 2 notes with J44.1Ĭan not code J43.9(emphysema) as it has excludes 1 note for “emphysema with chronic (obstructive) bronchitis (J44.-)ĬOPD with exacerbation, Emphysema, Chronic bronchitis J18.1 coded separately as per “code also” note with J44.0 J44.0 (COPD with lower respiratory infections) is not coded as per excludes 1 note with J43.9 Table below shows few combinations of Lung diseases and codes with COPD along with guideline.ĬOPD J44.9 is not coded as per excludes 1 note with J43.9 Disease – Airway – Obstructive = Leads to COPD. ![]() Asthma of specified type (Eg: mild intermittent asthma) should be coded separately along with COPD.Excludes 1 note has codes from category J43, J41, J42, J47 and J68.0.Look for the notes – Excludes 1, excludes 2, includes, code also, use additional.As COPD is a group of diseases it is important to see the coding guidelines properly before deciding which code to be assigned.J44.0 also can be coded if documented in the medical record.Īsthma with specified type can be coded separately. COPD ICD 10 Code list and guidelinesĬOPD ICD 10 codes and guidelines can be found in chapter 10 of ICD-10-CM manual which is “diseases of the respiratory system”, code range J00 – J99 COPD ICD 10 codes Diagnosis of COPD can be done by doing pulmonary function test (PFT), chest X-ray, CT lung or arterial blood gas analysis. Symptoms and TestsĬOPD causes symptoms like shortness of breath, wheezing, chronic cough or chest tightness. Other factors include occupational exposure to dusts and chemical, exposure to fumes from burning fuel or rarely any genetic factor (alpha-1-antitrypsin deficiency). Groups of lung diseases contribute to COPD, most commonly seen combinations are Emphysema and chronic bronchitis.Ĭigarette smoking is one of the major risk factor in increasing the number of COPD patients in the world. COPD:Ĭhronic obstructive pulmonary disease is an inflammatory disease which blocks airflow and make it difficult to breath. ![]() Let us learn about COPD ICD 10 code list, guidelines with examples.
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