COPD, without exacerbation: Difference between revisions

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{{ICD10 transition status

| OldDxArticle =

| OldDxArticle =COPD

| CurrentStatus = ~~needs review~~

| CurrentStatus = reconciled

| InitialEditorAssigned = Lori Lovell

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== Additional Info ==

~~incl [[Pulmonary emphysema or bullous disease without~~ COPD | emphysema]] and ~~[[Bronchitis,~~ chronic, ~~infectious~~ or ~~noninfectious|chronic~~ bronchitis], [[Bronchitis, ~~acute or~~ chronic ~~not specified~~, infectious or noninfectious ~~| acute or chronic bronchitis~~]] ~~forms~~ of COPD

*COPD refers to a group of lung disorders which have similar clinical presentation and course but different histopathological appearances (i.e. how they look under the microscope). Primarily COPD is a combination of "pulmonary emphysema" and "chronic bronchitis", with many or most patients having histopathological characteristics of both.

*A potentially BIG source of confusion is that the "Chronic bronchitis" which is a form of COPD, is '''DIFFERENT''' from '''[[Bronchitis, chronic, infectious or noninfectious]]'''.

**Part of the reason for this confusion is that sometimes clinicians use "Chronic bronchitis" and "COPD" interchangeably if a patient is the so-called "blue bloater" phenotype of COPD.

~~{{DiscussAllan | J44.8 why would you include~~ this code ~~for~~ a ~~Dx of emphysema when~~ there is ~~already~~ a ~~very specific code and show below J43~~.9?

Use this code to code COPD as a [[Comorbid Diagnosis]].

*~~also, why would~~ [[Bronchitis]] ~~need this with this code also, as we already have it mapped to 3 other option in IDC10? I do not see how collectors will be able to be consistent with all these double coding options~~.}}

===Coding instruction ===

*use '''[[COPD, without exacerbation]]''' or '''[[COPD, acute exacerbation]]''' if a diagnosis is chronic bronchitis and there is a PRESENCE of COPD.

*use '''[[Bronchitis, chronic, infectious or noninfectious]]''' if there is an ABSENCE of COPD.

== Alternate ICD10s to consider coding instead or in addition ==

*[[COPD, acute exacerbation]]

*[[Pulmonary emphysema or bullous disease without COPD]] ~~J43.9~~

*[[Pulmonary emphysema or bullous disease without COPD]]

*[[Emphysema, mediastinal or interstitial]]

*[[Bronchitis, acute or chronic not specified, infectious or noninfectious]] ~~J40~~

*[[Bronchitis, acute or chronic not specified, infectious or noninfectious]]

*[[Bronchitis, chronic, infectious or noninfectious]] ~~J42~~

*[[Bronchitis, chronic, infectious or noninfectious]]

== Candidate [[Combined ICD10 codes]] ==

== Related CCI Codes ==

== Related Articles ==

@@ Line 1: / Line 1: @@
 {{ICD10 transition status
-| OldDxArticle =
+| OldDxArticle =COPD
-| CurrentStatus = needs review
+| CurrentStatus = reconciled
 | InitialEditorAssigned = Lori Lovell
 }}
@@ Line 12: / Line 12: @@
 == Additional Info ==
-incl [[Pulmonary emphysema or bullous disease without COPD | emphysema]] and [[Bronchitis, chronic, infectious or noninfectious|chronic bronchitis], [[Bronchitis, acute or chronic not specified, infectious or noninfectious | acute or chronic bronchitis]] forms of COPD
+*COPD refers to a group of lung disorders which have similar clinical presentation and course but different histopathological appearances (i.e. how they look under the microscope).  Primarily COPD is a combination of "pulmonary emphysema" and "chronic bronchitis", with many or most patients having histopathological characteristics of both.
+*A potentially BIG source of confusion is that the "Chronic bronchitis" which is a form of COPD, is '''DIFFERENT''' from '''[[Bronchitis, chronic, infectious or noninfectious]]'''.
+**Part of the reason for this confusion is that sometimes clinicians use "Chronic bronchitis" and "COPD" interchangeably if a patient is the so-called "blue bloater" phenotype of COPD.
-{{DiscussAllan | J44.8 why would you include this code for a Dx of emphysema when there is already a very specific code and show below J43.9?
+Use this code to code COPD as a [[Comorbid Diagnosis]].
-*also, why would [[Bronchitis]] need this with this code also, as we already have it mapped to 3 other option in IDC10? I do not see how collectors will be able to be consistent with all these double coding options.}}
+===Coding instruction ===
+*use '''[[COPD, without exacerbation]]''' or '''[[COPD, acute exacerbation]]''' if a diagnosis is chronic bronchitis and there is a  PRESENCE of COPD.
+*use '''[[Bronchitis, chronic, infectious or noninfectious]]''' if there is an ABSENCE of COPD.
 == Alternate ICD10s to consider coding instead or in addition ==
 *[[COPD, acute exacerbation]]
-*[[Pulmonary emphysema or bullous disease without COPD]] J43.9
+*[[Pulmonary emphysema or bullous disease without COPD]]
 *[[Emphysema, mediastinal or interstitial]]
-*[[Bronchitis, acute or chronic not specified, infectious or noninfectious]] J40
+*[[Bronchitis, acute or chronic not specified, infectious or noninfectious]]
-*[[Bronchitis, chronic, infectious or noninfectious]] J42
+*[[Bronchitis, chronic, infectious or noninfectious]]
 == Candidate [[Combined ICD10 codes]] ==
 == Related CCI Codes ==
+{{Data Integrity Check List}}
 == Related Articles ==
 {{Related Articles}}
 {{ICD10 footer}}
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