COPD: Difference between revisions

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{{DX tag | Respiratory Problems  | [[:Category: Medical Problem | Medical Problem]] | COPD Acute Exacerbation | COPD Acute Exacerbation | [[300 -COPD Acute Exacerbation]] | [[:Category:Charlson Comorbid Diagnosis | Charlson Comorbid Diagnosis]]
{{PreICD10 dx | NewDxArticle = COPD, acute exacerbation}}
* [[387 - COPD mild]] - 1pt
{{PreICD10 dx | NewDxArticle = COPD, without exacerbation}}
* 388 - COPD moderate - 1pt
{{DX tag | Respiratory Problems  | Medical Problem | COPD | | *300 - COPD Acute Exacerbation |  
* 387 - COPD mild - 1pt
* 388 - COPD moderate]] - 1pt
* 389 - COPD severe - 1pt | 1 | CC & Med | Currently Collected |  | }}
* 389 - COPD severe - 1pt | 1 | CC & Med | Currently Collected |  | }}


== Diagnosis ==
== Diagnosis ==
*'''Acute exacerbation''' of COPD (Chronic Obstructive Pulmonary Disease
*'''Acute exacerbation''' of COPD (Chronic Obstructive Pulmonary Disease
*"The following 4 conditions comprise COPD (page 145, Faye Brown's ICD-9-CM 2005 Coding Handbook):
**Chronic obstructive asthma
**Chronic obstructive bronchitis
**Emphysema
**Chronic bronchitis with emphysema
Please note the very specific names of these diseases. They are not just simple asthma or simple bronchitis. The words, called modifiers, of "chronic" and "obstructive" that are paired with them are an extremely important part of the diagnostic name."
Confirmed that this will not be relevant in ICD10 because different DXs are available. Ttenbergen 18:03, 2018 April 4 (CDT)


== Comorbid ==
== Comorbid ==
COPD is a [[:Category:Charlson Comorbid Diagnosis | Charlson Comorbid Diagnosis]] that gives charlson points and will be automatically  prioritized for sending.
COPD is a [[:Category:Charlson Comorbid Diagnosis | Charlson Comorbid Diagnosis]] that gives charlson points and will be automatically  prioritized for sending.


=== severe ===
*Dyspneic '''AT REST''' despite treatment with steriods, puffers '''""OR""'''patient is on home O2 (oxygen) '''"OR"''' patient has been intubated or had a trach inserted in past history due to exacerbation.
=== moderate ===
*Dyspneic with slight or moderate activity.  Requires treatment with steriods or puffer.
=== mild ===
* Dyspneic with moderate activity without treatment or "attacks"


[[Category: COPD]]
[[Category: Diagnosis Coding]]
[[Category: Respiratory Problems]]
[[Category: Medical Problem]]




[[Category: Comorbid Diagnosis (old)]]
[[Category: Charlson Comorbid Diagnosis]]
[[Category: Charlson Comorbid Diagnosis]]
[[Category: Charlson - Pulmonary]]

Latest revision as of 23:30, 2018 December 30


Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:COPD, acute exacerbation, COPD, without exacerbation

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System:
Category: Respiratory Problems (old)

Type:

Category: Medical Problem (old)

Main Diagnosis: COPD
Sub Diagnosis:
Diagnosis Code:
  • 300 - COPD Acute Exacerbation
Comorbid Diagnosis:
  • 387 - COPD mild - 1pt
  • 388 - COPD moderate]] - 1pt
  • 389 - COPD severe - 1pt
Charlson Comorbid coding (pre ICD10): 1
Program: CC & Med
Status: Currently Collected


Diagnosis

  • Acute exacerbation of COPD (Chronic Obstructive Pulmonary Disease
  • "The following 4 conditions comprise COPD (page 145, Faye Brown's ICD-9-CM 2005 Coding Handbook):
    • Chronic obstructive asthma
    • Chronic obstructive bronchitis
    • Emphysema
    • Chronic bronchitis with emphysema

Please note the very specific names of these diseases. They are not just simple asthma or simple bronchitis. The words, called modifiers, of "chronic" and "obstructive" that are paired with them are an extremely important part of the diagnostic name."

Confirmed that this will not be relevant in ICD10 because different DXs are available. Ttenbergen 18:03, 2018 April 4 (CDT)

Comorbid

COPD is a Charlson Comorbid Diagnosis that gives charlson points and will be automatically prioritized for sending.

severe

  • Dyspneic AT REST despite treatment with steriods, puffers ""OR""patient is on home O2 (oxygen) "OR" patient has been intubated or had a trach inserted in past history due to exacerbation.

moderate

  • Dyspneic with slight or moderate activity. Requires treatment with steriods or puffer.

mild

  • Dyspneic with moderate activity without treatment or "attacks"