COPD, without exacerbation: Difference between revisions

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m Additional Info: Allan to review
m Alternate ICD10s to consider coding instead or in addition: those might change, so they should not be here.
 
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{{ICD10 transition status
{{ICD10 transition status
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| OldDxArticle =COPD
| CurrentStatus = needs review
| CurrentStatus = reconciled
| InitialEditorAssigned = Lori Lovell
| InitialEditorAssigned = Lori Lovell
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== Additional Info ==
== 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 we 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 code also, as we already have it mapped to 3 other options 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 ==
== Alternate ICD10s to consider coding instead or in addition ==
*[[COPD, acute exacerbation]]
*[[COPD, acute exacerbation]]
*[[Pulmonary emphysema or bullous disease without COPD]] J43.9
*[[Pulmonary emphysema or bullous disease without COPD]]
*[[Emphysema, mediastinal or interstitial]]
*[[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]] ==
== Candidate [[Combined ICD10 codes]] ==


== Related CCI Codes ==
== Related CCI Codes ==
{{Data Integrity Check List}}


== Related Articles ==
== Related Articles ==
{{Related Articles}}
{{Related Articles}}


{{ICD10 footer}}
{{ICD10 footer}}
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{{EndPlaceHolder}}

Latest revision as of 23:48, 25 November 2018

ICD10 Diagnosis
Dx: COPD, without exacerbation
ICD10 code: J44.8
Pre-ICD10 counterpart: COPD
Charlson/ALERT Scale: Chronic pulmonary disease
APACHE Como Component: Respiratory
APACHE Acute Component: 2019-0: COPD
Start Date:
Stop Date:
External ICD10 Documentation

This diagnosis is a part of ICD10 collection.

  • SMW
    • 2019-01-01
    • 2999-12-31
    • J44.8
  • Cargo


  • Categories
  • SMW
  • Cargo


  • Categories
  • SMW
  • Cargo


  • Categories

Additional Info

  • 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.

Use this code to code COPD as a Comorbid Diagnosis.

Coding instruction

Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

none found

Related Articles

Related articles:


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