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Copd and asthma with acute exacerbation

post in: News Date:29 Sep 2017, 13:17 views:2977

Copd and asthma with acute exacerbation

Kim Carrier, rHIT, cdip, CCS, CCS-P, director of Coding Quality Assurance.

Ahima Approved ICD-10-CM/PCS Trainer, we will be discussing copd and Asthma is todays coding tip. Below are some definitions for clarification: copd is a chronic inflammatory lung disease that causes obstructed flow of air from the lungs. The disease is progressive in nature and typically will worsen over time.

The most common cause of copd is smoking tobacco.

Copd is increasingly being used to document lung disease. The coder must review the record for further specificity of the disease.

Emphysema and chronic bronchitis are the two main conditions of copd.

Copd can also be further clarified to be with acute exacerbation. Asthma is an inflammatory condition in which the airways natural narrow and swell and extra mucous is produced. There is no cure for asthma and symptoms may be prevented by avoiding triggers and by the use of prescribed medications.

The cause of asthma is either environmental or genetic. If asthma is present before age 12, the cause is most likely from genetics.

If asthma presents after age 12, the cause is more likely to be environmentally induced. Asthma can also be further clarified as to severity as well as status asthmaticus or acute exacerbation. Status asthmaticus is described as asthma with acute symptoms that do not respond to standard treatment including the use of steroids and bronchodilators.

Exacerbation is a sudden worsening of a disease and typically last several days. In coding, if patients have copd and asthma documented, without any further specificity of the type of asthma, only copd would be reported. Per the instructional notes under Category J44, Other chronic obstructive pulmonary disease, code also type of asthma, if applicable (J45-).

 

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