110 likes | 199 Views
Providers need to understand the proper icd-10 codes to document asthma.<br>
E N D
ICD-10 Codes for Documenting ASTHMA (918) 221 7769 info@managedoutsource.com www.outsourcestrategies.com
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.
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)
Get Familiar with ICD 10 codes ICD-10-CM combines both intrinsic and extrinsic into one category • J45.2 Mild intermittent asthma • J45.3 Mild persistent asthma Mild asthma J45.4 Moderate persistent asthma J45.5 Severe persistent asthma Moderate and severe asthma Condition that cannot be identified as mild, moderate or severe • J45.99 Other asthma Or • J45.90 Unspecified asthma
Sub-categories Three further sub-categories are - uncomplicated, with acute exacerbation and status asthmaticus. • Mild intermittent asthma, uncomplicated J45.20 Uncomplicated Severe persistent asthma, uncomplicated J45.50 J45.909 Unspecified asthma, uncomplicated
Mild intermittent asthma with (acute) exacerbation J45.21 Mild persistent asthma with (acute) exacerbation J45.31 Acute Exacerbation Moderate persistent asthma with (acute) exacerbation J45.41 Severe persistent asthma with (acute) exacerbation J45.51 • Unspecified asthma with (acute) exacerbation J45.901
Mild intermittent asthma with status asthmaticus J45.22 Mild persistent asthma with status asthmaticus J45.32 Status Asthmaticus • Mild persistent asthma with status asthmaticus J45.42 • Severe persistent asthma with status asthmaticus J45.52 • Unspecified asthma with status asthmaticus J45.902
Cause While documenting the cause of asthma, common codes used include • Z77.22 Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic) • F17.228 Nicotine dependence, chewing tobacco, with other nicotine-induced disorders P96.81 Exposure to (parental) (environmental) tobacco smoke in the perinatal period F17.298 Nicotine dependence, other tobacco product, with other nicotine-induced disorders • Z87.891 Personal history of nicotine dependence • Z72.0 Tobacco use
Codes that are exceptions from a diagnosis as J45 asthma Hypersensitivity pneumonitis due to other organic dusts (wood asthma) J67.8 Pneumonitis due to inhalation of other solids and liquids (detergent asthma) J69.8 Pulmonary eosinophilia, not elsewhere classified (eosinophilic asthma) J82 J60 • Coal worker's pneumoconiosis (miner's asthma) R06.2 • Wheezing
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 companiesto have a clear idea of the structure and organization of the ICD-10 code set.
Contact Us: Headquarters:8596 E. 101st Street, Suite HTulsa, OK 74133 Phone: (800) 670 2809 E-mail: info@managedoutsource.com THANK YOU