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ICD-10 Codes for Documenting Asthma

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Providers need to understand the proper icd-10 codes to document asthma.

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ICD-10 Codes for Documenting Asthma

  1. 1. www.outsourcestrategies.com info@managedoutsource.com (918) 221 7769
  2. 2. According to the American Academy of Allergy Asthma & Immunology (AAAAI), asthma is a chronic disease involving the airways in the lungs. Airways are always inflamed for those with this condition. Specialists such as allergists or immunologists diagnosing and treating asthma can rely on medical coding outsourcing to meet the complex coding tasks.
  3. 3. Conditions to be included while documenting asthma Cause (exercise-induced, cough variant, related to smoking, chemical or particular cause, occupational) Severity (mild persistent, moderate persistent, severe persistent) Temporal Factors (acute, chronic, intermittent, persistent, status asthmaticus, acute exacerbation)
  4. 4. Get Familiar with ICD 10 codes ICD-10-CM combines both intrinsic and extrinsic into one category Mild asthma Moderate and severe asthma Condition that cannot be identified as mild, moderate or severe J45.2 Mild intermittent asthma J45.3 Mild persistent asthma J45.4 Moderate persistent asthma J45.5 Severe persistent asthma J45.99 Other asthma Or J45.90 Unspecified asthma
  5. 5. Sub-categories Three further sub-categories are - uncomplicated, with acute exacerbation and status asthmaticus. Uncomplicated J45.20 Mild intermittent asthma, uncomplicated J45.50 Severe persistent asthma, uncomplicated Unspecified asthma, uncomplicatedJ45.909
  6. 6. Acute Exacerbation J45.21 Mild intermittent asthma with (acute) exacerbation Mild persistent asthma with (acute) exacerbation J45.31 J45.41 Moderate persistent asthma with (acute) exacerbation J45.51 Severe persistent asthma with (acute) exacerbation J45.901 Unspecified asthma with (acute) exacerbation
  7. 7. Status Asthmaticus J45.22 J45.32 J45.42 J45.52 J45.902 Mild intermittent asthma with status asthmaticus Mild persistent asthma with status asthmaticus Mild persistent asthma with status asthmaticus Severe persistent asthma with status asthmaticus Unspecified asthma with status asthma ticus
  8. 8. Cause While documenting the cause of asthma, common codes used include Z77.22 Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic) P96.81 Exposure to (parental) (environmental) tobacco smoke in the perinatal period Z87.891 Personal history of nicotine dependence F17.228 Nicotine dependence, chewing tobacco, with other nicotine-induced disorders F17.298 Nicotine dependence, other tobacco product, with other nicotine-induced disorders Z72.0 Tobacco use
  9. 9. Codes that are exceptions from a diagnosis as J45 asthma J67.8 J69.8 J82 J60 R06.2 Hypersensitivity pneumonitis due to other organic dusts (wood asthma) Pneumonitis due to inhalation of other solids and liquids (detergent asthma) Pulmonary eosinophilia, not elsewhere classified (eosinophilic asthma) Coal worker's pneumoconiosis (miner's asthma) Wheezing
  10. 10. Other key things medical coders must note include  These types of asthma cannot be combined with a J45 code because the conditions cannot coexist.  Chronic obstructive asthma (J44.9) can be included in the submitted code because the condition can coexist with a J45 code. To code asthma that comes with a wide variety of potential choices, it is crucial for coding specialists in hospitals and medical billing companies to have a clear idea of the structure and organization of the ICD-10 code set.
  11. 11. Contact Us: Headquarters: 8596 E. 101st Street, Suite H Tulsa, OK 74133 Phone: (800) 670 2809 E-mail: info@managedoutsource.com

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